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 $954.99 / $1,122.02 / $1,380.38	Professional		$954.99	$1,122.02	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,348.96	Professional		$1,096.48	$1,348.96	$1,348.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $14,791.08	Professional		$1,513.56	$1,949.84	$14,791.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,445.44	Professional		$1,047.13	$1,148.15	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,778.28	Professional		$1,096.48	$1,380.38	$1,778.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $9,772.37 / $14,125.38	Professional		$1,318.26	$9,772.37	$14,125.38