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 $954.99 / $1,737.80 / $1,905.46	Professional		$954.99	$1,737.80	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,819.70	Professional		$1,698.24	$1,698.24	$1,819.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $2,630.27	Professional		$2,041.74	$2,187.76	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,905.46	Professional		$1,479.11	$1,621.81	$1,905.46
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 $1,412.54 / $1,737.80 / $2,238.72	Professional		$1,412.54	$1,737.80	$2,238.72
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