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 $741.31 / $1,348.96 / $1,445.44	Professional		$741.31	$1,348.96	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,513.56	Professional		$1,288.25	$1,288.25	$1,513.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,698.24 / $2,089.30	Professional		$1,621.81	$1,698.24	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,380.38	Professional		$1,071.52	$1,174.90	$1,380.38
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 $1,047.13 / $1,348.96 / $1,737.80	Professional		$1,047.13	$1,348.96	$1,737.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,412.54 / $2,089.30	Professional		$29.51	$1,412.54	$2,089.30