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 $1,096.48 / $1,202.26 / $1,659.59	Professional		$1,096.48	$1,202.26	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,621.81	Professional		$1,148.15	$1,348.96	$1,621.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,819.70	Professional		$1,621.81	$1,621.81	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,041.74	Professional		$1,445.44	$1,659.59	$2,041.74
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 $933.25 / $1,412.54 / $1,905.46	Professional		$933.25	$1,412.54	$1,905.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,230.27 / $1,621.81	Professional		$29.51	$1,230.27	$1,621.81