Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,025.60	Facility		$2,570.40	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,412.54	Professional		$1,000.00	$1,148.15	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,258.93	Professional		$1,000.00	$1,230.27	$1,258.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $12,589.25	Professional		$1,513.56	$1,949.84	$12,589.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,348.96	Professional		$1,000.00	$1,096.48	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,621.81	Professional		$1,023.29	$1,288.25	$1,621.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $891.25 / $1,659.59	Professional		$29.51	$891.25	$1,659.59