Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,148.15	Professional		$691.83	$812.83	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $1,148.15	Professional		$812.83	$870.96	$1,148.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,479.11	Professional		$1,122.02	$1,230.27	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $1,230.27	Professional		$870.96	$977.24	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,258.93	Professional		$602.56	$891.25	$1,258.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $870.96 / $1,348.96	Professional		$29.51	$870.96	$1,348.96