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 / $1,348.96 / $1,698.24	Professional		$1,174.90	$1,348.96	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,479.11	Professional		$1,174.90	$1,445.44	$1,479.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $2,238.72	Professional		$1,698.24	$1,862.09	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,584.89	Professional		$1,174.90	$1,288.25	$1,584.89
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 $1,202.26 / $1,513.56 / $1,905.46	Professional		$1,202.26	$1,513.56	$1,905.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,047.13 / $1,584.89	Professional		$29.51	$1,047.13	$1,584.89