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 $1,047.13 / $1,905.46 / $2,089.30	Professional		$1,047.13	$1,905.46	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,041.74	Professional		$1,862.09	$1,862.09	$2,041.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $2,884.03	Professional		$2,238.72	$2,398.83	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $2,089.30	Professional		$1,621.81	$1,778.28	$2,089.30
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 $1,548.82 / $1,905.46 / $2,511.89	Professional		$1,548.82	$1,905.46	$2,511.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,737.80 / $2,570.40	Professional		$29.51	$1,737.80	$2,570.40