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 $1,288.25 / $1,412.54 / $1,949.84	Professional		$1,288.25	$1,412.54	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $1,905.46	Professional		$1,513.56	$1,698.24	$1,905.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $2,630.27	Professional		$1,995.26	$2,187.76	$2,630.27
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 $1,548.82 / $1,819.70 / $2,398.83	Professional		$1,548.82	$1,819.70	$2,398.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,380.38 / $2,290.87	Professional		$29.51	$1,380.38	$2,290.87