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 $1,288.25 / $1,479.11 / $2,187.76	Professional		$1,288.25	$1,479.11	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $5,495.41	Professional		$1,380.38	$1,778.28	$5,495.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,137.96 / $2,570.40	Professional		$1,905.46	$2,137.96	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,041.74	Professional		$1,380.38	$1,621.81	$2,041.74
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 $1,318.26 / $1,819.70 / $2,398.83	Professional		$1,318.26	$1,819.70	$2,398.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,318.26 / $2,089.30	Professional		$29.51	$1,318.26	$2,089.30