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 $1,047.13 / $1,258.93 / $1,513.56	Professional		$1,047.13	$1,258.93	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,513.56	Professional		$1,230.27	$1,513.56	$1,513.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $18,197.01	Professional		$1,659.59	$2,187.76	$18,197.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,621.81	Professional		$1,174.90	$1,288.25	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,995.26	Professional		$1,230.27	$1,513.56	$1,995.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $11,748.98 / $14,791.08	Professional		$1,122.02	$11,748.98	$14,791.08