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 $1,174.90 / $1,230.27 / $1,479.11	Professional		$1,174.90	$1,230.27	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,412.54	Professional		$1,122.02	$1,380.38	$1,412.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $2,187.76	Professional		$1,621.81	$1,778.28	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,513.56	Professional		$1,122.02	$1,230.27	$1,513.56
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 $1,148.15 / $1,445.44 / $1,819.70	Professional		$1,148.15	$1,445.44	$1,819.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,148.15 / $1,819.70	Professional		$29.51	$1,148.15	$1,819.70