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 $676.08 / $1,348.96 / $1,621.81	Professional		$676.08	$1,348.96	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,548.82	Professional		$1,148.15	$1,513.56	$1,548.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $2,137.96	Professional		$1,621.81	$1,778.28	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,778.28	Professional		$1,288.25	$1,412.54	$1,778.28
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 / $1,513.56 / $1,949.84	Professional		$1,258.93	$1,513.56	$1,949.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,202.26 / $1,905.46	Professional		$29.51	$1,202.26	$1,905.46