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 $1,122.02 / $1,258.93 / $1,698.24	Professional		$1,122.02	$1,258.93	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,659.59	Professional		$1,174.90	$1,412.54	$1,659.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $2,137.96	Professional		$1,621.81	$1,778.28	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $1,698.24	Professional		$1,174.90	$1,348.96	$1,698.24
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 $977.24 / $1,479.11 / $1,949.84	Professional		$977.24	$1,479.11	$1,949.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,288.25 / $1,659.59	Professional		$29.51	$1,288.25	$1,659.59