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 $831.76 / $1,513.56 / $1,659.59	Professional		$831.76	$1,513.56	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,513.56	Professional		$1,445.44	$1,445.44	$1,513.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $2,187.76	Professional		$1,698.24	$1,778.28	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,659.59	Professional		$1,288.25	$1,412.54	$1,659.59
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 $1,230.27 / $1,513.56 / $1,995.26	Professional		$1,230.27	$1,513.56	$1,995.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,479.11 / $2,238.72	Professional		$29.51	$1,479.11	$2,238.72