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 $1,584.89 / $1,819.70 / $2,238.72	Professional		$1,584.89	$1,819.70	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $1,949.84	Professional		$1,584.89	$1,949.84	$1,949.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $3,019.95	Professional		$2,290.87	$2,511.89	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $2,137.96	Professional		$1,548.82	$1,698.24	$2,137.96
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 $1,584.89 / $1,995.26 / $2,570.40	Professional		$1,584.89	$1,995.26	$2,570.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,412.54 / $2,570.40	Professional		$29.51	$1,412.54	$2,570.40