Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,511.38 / $8,511.38	Facility		$2,818.38	$8,511.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $1,659.59	Professional		$1,174.90	$1,348.96	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,445.44	Professional		$1,174.90	$1,445.44	$1,445.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $12,589.25	Professional		$1,778.28	$2,290.87	$12,589.25
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 $2,137.96 / $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 $1,202.26 / $1,479.11 / $1,905.46	Professional		$1,202.26	$1,479.11	$1,905.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,047.13 / $2,089.30	Professional		$29.51	$1,047.13	$2,089.30