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 $2,089.30 / $2,398.83 / $2,951.21	Professional		$2,089.30	$2,398.83	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $3,019.95	Professional		$2,137.96	$2,454.71	$3,019.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,235.94 / $3,890.45	Professional		$2,951.21	$3,235.94	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $3,235.94	Professional		$2,290.87	$2,570.40	$3,235.94
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 $1,778.28 / $2,454.71 / $3,548.13	Professional		$1,778.28	$2,454.71	$3,548.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $2,137.96 / $3,019.95	Professional		$29.51	$2,137.96	$3,019.95