Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,495.41 / $5,495.41	Facility		$1,949.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,479.11	Professional		$1,071.52	$1,174.90	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,513.56	Professional		$1,071.52	$1,318.26	$1,513.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,584.89 / $1,905.46	Professional		$1,445.44	$1,584.89	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,445.44	Professional		$1,023.29	$1,148.15	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,778.28	Professional		$870.96	$1,348.96	$1,778.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $4,073.80 / $7,943.28	Professional		$1,318.26	$4,073.80	$7,943.28