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 $1,122.02 / $1,659.59 / $2,187.76	Professional		$1,122.02	$1,659.59	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $2,041.74	Professional		$1,380.38	$1,445.44	$2,041.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $2,884.03	Professional		$2,137.96	$2,344.23	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $2,454.71	Professional		$1,778.28	$1,949.84	$2,454.71
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 $1,659.59 / $1,905.46 / $2,570.40	Professional		$1,659.59	$1,905.46	$2,570.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,479.11 / $2,238.72	Professional		$29.51	$1,479.11	$2,238.72