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 $933.25 / $1,698.24 / $1,862.09	Professional		$933.25	$1,698.24	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,778.28	Professional		$1,659.59	$1,659.59	$1,778.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,089.30 / $2,570.40	Professional		$1,995.26	$2,089.30	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $1,819.70	Professional		$1,412.54	$1,548.82	$1,819.70
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 $1,348.96 / $1,698.24 / $2,187.76	Professional		$1,348.96	$1,698.24	$2,187.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,698.24 / $2,570.40	Professional		$29.51	$1,698.24	$2,570.40