Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
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 $1,202.26 / $1,412.54 / $1,698.24	Professional		$1,202.26	$1,412.54	$1,698.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $12,589.25	Professional		$1,659.59	$1,905.46	$12,589.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,698.24	Professional		$1,202.26	$1,380.38	$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 / $1,445.44 / $1,949.84	Professional		$977.24	$1,445.44	$1,949.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,235.94 / $6,165.95	Professional		$1,288.25	$3,235.94	$6,165.95