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 $616.60 / $1,096.48 / $1,202.26	Professional		$616.60	$1,096.48	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $1,778.28	Professional		$1,380.38	$1,479.11	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,023.29 / $1,202.26	Professional		$954.99	$1,023.29	$1,202.26
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 $891.25 / $1,096.48 / $1,445.44	Professional		$891.25	$1,096.48	$1,445.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,071.52 / $1,202.26	Professional		$151.36	$1,071.52	$1,202.26