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 $1,348.96 / $1,659.59 / $2,041.74	Professional		$1,348.96	$1,659.59	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $1,905.46	Professional		$1,621.81	$1,819.70	$1,905.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $2,691.53	Professional		$2,041.74	$2,238.72	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $2,290.87	Professional		$1,659.59	$1,819.70	$2,290.87
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 / $1,819.70 / $2,454.71	Professional		$1,584.89	$1,819.70	$2,454.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,513.56 / $2,089.30	Professional		$29.51	$1,513.56	$2,089.30