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 $912.01 / $1,412.54 / $1,513.56	Professional		$912.01	$1,412.54	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,584.89	Professional		$1,348.96	$1,348.96	$1,584.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $2,238.72	Professional		$1,737.80	$1,862.09	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,445.44	Professional		$1,122.02	$1,230.27	$1,445.44
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 $1,122.02 / $1,412.54 / $1,819.70	Professional		$1,122.02	$1,412.54	$1,819.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,513.56 / $2,238.72	Professional		$29.51	$1,513.56	$2,238.72