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 $758.58 / $1,096.48 / $1,445.44	Professional		$758.58	$1,096.48	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,230.27	Professional		$1,000.00	$1,202.26	$1,230.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,819.70	Professional		$1,348.96	$1,479.11	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,412.54	Professional		$1,047.13	$1,148.15	$1,412.54
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 $977.24 / $1,230.27 / $1,548.82	Professional		$977.24	$1,230.27	$1,548.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,202.26 / $1,548.82	Professional		$29.51	$1,202.26	$1,548.82