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 $1,258.93 / $1,479.11 / $2,137.96	Professional		$1,258.93	$1,479.11	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,778.28	Professional		$1,548.82	$1,548.82	$1,778.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,511.89	Professional		$1,905.46	$2,089.30	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $1,819.70	Professional		$1,412.54	$1,548.82	$1,819.70
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 $1,348.96 / $1,737.80 / $2,187.76	Professional		$1,348.96	$1,737.80	$2,187.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,677.35 / $9,332.54	Professional		$1,548.82	$4,677.35	$9,332.54