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 $1,584.89 / $2,818.38 / $3,090.30	Professional		$1,584.89	$2,818.38	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,019.95	Professional		$2,754.23	$2,754.23	$3,019.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,548.13 / $4,265.80	Professional		$3,311.31	$3,548.13	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $3,019.95	Professional		$2,398.83	$2,570.40	$3,019.95
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 $2,238.72 / $2,754.23 / $3,715.35	Professional		$2,238.72	$2,754.23	$3,715.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $2,041.74 / $3,090.30	Professional		$29.51	$2,041.74	$3,090.30