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 $812.83 / $1,202.26 / $1,698.24	Professional		$812.83	$1,202.26	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $1,445.44	Professional		$1,047.13	$1,174.90	$1,445.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $6,025.60 / $8,317.64	Professional		$1,698.24	$6,025.60	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,621.81	Professional		$1,174.90	$1,288.25	$1,621.81
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 $1,148.15 / $1,288.25 / $1,737.80	Professional		$1,148.15	$1,288.25	$1,737.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $4,677.35 / $9,332.54	Professional		$1,412.54	$4,677.35	$9,332.54