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 $549.54 / $776.25 / $1,071.52	Professional		$549.54	$776.25	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $891.25	Professional		$724.44	$870.96	$891.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,258.93	Professional		$954.99	$1,047.13	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,096.48	Professional		$794.33	$870.96	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,148.15	Professional		$724.44	$891.25	$1,148.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $851.14 / $1,023.29	Professional		$29.51	$851.14	$1,023.29