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 / $1,174.90 / $1,412.54	Professional		$1,122.02	$1,174.90	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,318.26	Professional		$1,096.48	$1,288.25	$1,318.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,584.89 / $1,905.46	Professional		$1,445.44	$1,584.89	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,412.54	Professional		$1,023.29	$1,122.02	$1,412.54
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 $1,071.52 / $1,348.96 / $1,698.24	Professional		$1,071.52	$1,348.96	$1,698.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $977.24 / $1,479.11	Professional		$29.51	$977.24	$1,479.11