Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,025.60	Facility		$2,570.40	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,737.80	Professional		$1,071.52	$1,288.25	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,445.44	Professional		$1,258.93	$1,258.93	$1,445.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $14,791.08	Professional		$1,621.81	$2,137.96	$14,791.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,380.38	Professional		$1,096.48	$1,174.90	$1,380.38
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 $1,258.93 / $1,412.54 / $1,862.09	Professional		$1,258.93	$1,412.54	$1,862.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $7,943.28 / $11,748.98	Professional		$1,380.38	$7,943.28	$11,748.98