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 $1,380.38 / $1,621.81 / $2,290.87	Professional		$1,380.38	$1,621.81	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $5,623.41	Professional		$1,584.89	$2,137.96	$5,623.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,754.23 / $3,311.31	Professional		$2,454.71	$2,754.23	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,089.30	Professional		$1,412.54	$1,698.24	$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 $1,445.44 / $1,949.84 / $2,884.03	Professional		$1,445.44	$1,949.84	$2,884.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,318.26 / $1,995.26	Professional		$251.19	$1,318.26	$1,995.26