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 $954.99 / $1,318.26 / $1,819.70	Professional		$954.99	$1,318.26	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,513.56	Professional		$1,230.27	$1,479.11	$1,513.56
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 $1,148.15 / $1,258.93 / $1,584.89	Professional		$1,148.15	$1,258.93	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,949.84	Professional		$1,230.27	$1,513.56	$1,949.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,479.11 / $2,187.76	Professional		$29.51	$1,479.11	$2,187.76