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 $1,949.84 / $2,238.72 / $2,818.38	Professional		$1,949.84	$2,238.72	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $2,630.27	Professional		$2,187.76	$2,570.40	$2,630.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $3,630.78	Professional		$2,754.23	$3,019.95	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,454.71 / $3,019.95	Professional		$2,238.72	$2,454.71	$3,019.95
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 $2,137.96 / $2,511.89 / $3,388.44	Professional		$2,137.96	$2,511.89	$3,388.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $2,089.30 / $2,818.38	Professional		$29.51	$2,089.30	$2,818.38