Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $1,584.89	Professional		$1,122.02	$1,258.93	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,584.89	Professional		$1,122.02	$1,348.96	$1,584.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $2,137.96	Professional		$1,621.81	$1,778.28	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $1,584.89	Professional		$1,122.02	$1,258.93	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $1,862.09	Professional		$933.25	$1,445.44	$1,862.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $5,370.32	Professional		$1,023.29	$2,089.30	$5,370.32