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 $1,202.26 / $2,089.30 / $2,238.72	Professional		$1,202.26	$2,089.30	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,089.30	Professional		$1,995.26	$1,995.26	$2,089.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $3,388.44	Professional		$2,570.40	$2,818.38	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $2,089.30	Professional		$1,659.59	$1,819.70	$2,089.30
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 $1,621.81 / $2,089.30 / $2,691.53	Professional		$1,621.81	$2,089.30	$2,691.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $2,041.74 / $2,238.72	Professional		$29.51	$2,041.74	$2,238.72