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 $660.69 / $1,202.26 / $1,318.26	Professional		$660.69	$1,202.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,202.26	Professional		$1,174.90	$1,174.90	$1,202.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $1,737.80	Professional		$1,348.96	$1,445.44	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,318.26	Professional		$1,047.13	$1,148.15	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,584.89	Professional		$977.24	$1,202.26	$1,584.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,230.27 / $1,862.09	Professional		$29.51	$1,230.27	$1,862.09