Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,495.41 / $5,495.41	Facility		$1,949.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,479.11	Professional		$1,047.13	$1,202.26	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,318.26	Professional		$1,071.52	$1,288.25	$1,318.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,819.70	Professional		$1,380.38	$1,513.56	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,412.54	Professional		$1,047.13	$1,148.15	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
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 $1,258.93 / $4,073.80 / $7,943.28	Professional		$1,258.93	$4,073.80	$7,943.28