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 / $1,348.96 / $1,995.26	Professional		$1,202.26	$1,348.96	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $5,128.61	Professional		$1,318.26	$1,659.59	$5,128.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,344.23	Professional		$1,737.80	$1,949.84	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,862.09	Professional		$1,230.27	$1,479.11	$1,862.09
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 $1,230.27 / $1,659.59 / $2,238.72	Professional		$1,230.27	$1,659.59	$2,238.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,230.27 / $1,995.26	Professional		$29.51	$1,230.27	$1,995.26