Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,511.38 / $8,511.38	Facility		$2,818.38	$8,511.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,819.70	Professional		$912.01	$1,202.26	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,288.25	Professional		$1,047.13	$1,047.13	$1,288.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $4,570.88 / $7,943.28	Professional		$1,412.54	$4,570.88	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,318.26	Professional		$1,023.29	$1,122.02	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,659.59	Professional		$831.76	$1,258.93	$1,659.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $5,623.41 / $11,220.18	Professional		$1,047.13	$5,623.41	$11,220.18