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 $1,258.93 / $2,691.53 / $2,884.03	Professional		$1,258.93	$2,691.53	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,630.27	Professional		$1,621.81	$1,621.81	$2,630.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $2,884.03	Professional		$2,238.72	$2,398.83	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $2,754.23	Professional		$2,137.96	$2,344.23	$2,754.23
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 $1,548.82 / $2,630.27 / $3,467.37	Professional		$1,548.82	$2,630.27	$3,467.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $2,137.96 / $2,884.03	Professional		$29.51	$2,137.96	$2,884.03