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 $1,202.26 / $1,380.38 / $1,698.24	Professional		$1,202.26	$1,380.38	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,778.28	Professional		$1,258.93	$1,348.96	$1,778.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $2,238.72	Professional		$1,698.24	$1,862.09	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $1,949.84	Professional		$1,380.38	$1,548.82	$1,949.84
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 $1,000.00 / $1,412.54 / $2,041.74	Professional		$1,000.00	$1,412.54	$2,041.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,202.26 / $1,737.80	Professional		$29.51	$1,202.26	$1,737.80