Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $1,905.46	Professional		$1,000.00	$1,479.11	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,659.59	Professional		$1,318.26	$1,548.82	$1,659.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,454.71	Professional		$1,905.46	$2,089.30	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,862.09	Professional		$1,348.96	$1,479.11	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,089.30	Professional		$1,288.25	$1,659.59	$2,089.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,348.96 / $2,187.76	Professional		$29.51	$1,348.96	$2,187.76