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 $1,995.26 / $2,290.87 / $2,818.38	Professional		$1,995.26	$2,290.87	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $2,884.03	Professional		$2,041.74	$2,344.23	$2,884.03
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 $2,137.96 / $2,454.71 / $3,090.30	Professional		$2,137.96	$2,454.71	$3,090.30
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 / $2,344.23 / $3,388.44	Professional		$1,659.59	$2,344.23	$3,388.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,995.26 / $2,818.38	Professional		$29.51	$1,995.26	$2,818.38