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 / $1,288.25 / $1,479.11	Professional		$758.58	$1,288.25	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,380.38	Professional		$1,288.25	$1,288.25	$1,380.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,905.46	Professional		$1,445.44	$1,548.82	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,445.44	Professional		$1,122.02	$1,230.27	$1,445.44
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 $1,047.13 / $1,288.25 / $1,698.24	Professional		$1,047.13	$1,288.25	$1,698.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,258.93 / $1,862.09	Professional		$29.51	$1,258.93	$1,862.09