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 $1,096.48 / $1,202.26 / $1,548.82	Professional		$1,096.48	$1,202.26	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,548.82	Professional		$1,096.48	$1,348.96	$1,548.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $14,454.40	Professional		$1,548.82	$1,778.28	$14,454.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $1,548.82	Professional		$1,096.48	$1,258.93	$1,548.82
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 $912.01 / $1,258.93 / $1,819.70	Professional		$912.01	$1,258.93	$1,819.70
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