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 / $1,819.70 / $4,897.79	Professional		$1,318.26	$1,819.70	$4,897.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,818.38	Professional		$2,041.74	$2,290.87	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,819.70	Professional		$1,202.26	$1,445.44	$1,819.70
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 $1,258.93 / $1,659.59 / $2,398.83	Professional		$1,258.93	$1,659.59	$2,398.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,148.15 / $1,698.24	Professional		$213.80	$1,148.15	$1,698.24