Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,511.38 / $8,511.38	Facility		$2,818.38	$8,511.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,548.82	Professional		$870.96	$1,122.02	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,318.26	Professional		$977.24	$1,148.15	$1,318.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $12,589.25	Professional		$1,445.44	$1,862.09	$12,589.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,445.44	Professional		$1,047.13	$1,148.15	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,621.81	Professional		$1,071.52	$1,202.26	$1,621.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $9,332.54 / $14,125.38	Professional		$1,202.26	$9,332.54	$14,125.38