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 $1,122.02 / $1,202.26 / $1,479.11	Professional		$1,122.02	$1,202.26	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,412.54	Professional		$1,096.48	$1,348.96	$1,412.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $2,041.74	Professional		$1,548.82	$1,698.24	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,479.11	Professional		$1,071.52	$1,174.90	$1,479.11
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 $1,096.48 / $1,348.96 / $1,737.80	Professional		$1,096.48	$1,348.96	$1,737.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,148.15 / $1,778.28	Professional		$29.51	$1,148.15	$1,778.28