Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,025.60	Facility		$2,570.40	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,819.70	Professional		$1,202.26	$1,348.96	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,778.28	Professional		$1,258.93	$1,513.56	$1,778.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $2,238.72	Professional		$1,698.24	$1,862.09	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,778.28	Professional		$1,258.93	$1,412.54	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,089.30	Professional		$1,023.29	$1,548.82	$2,089.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,318.26 / $1,737.80	Professional		$29.51	$1,318.26	$1,737.80