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 / $1,174.90 / $1,288.25	Professional		$691.83	$1,174.90	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,230.27	Professional		$1,148.15	$1,148.15	$1,230.27
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 $1,000.00 / $1,096.48 / $1,258.93	Professional		$1,000.00	$1,096.48	$1,258.93
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 $933.25 / $1,174.90 / $1,548.82	Professional		$933.25	$1,174.90	$1,548.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,122.02 / $1,698.24	Professional		$29.51	$1,122.02	$1,698.24