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 $331.13 / $588.84 / $630.96	Professional		$331.13	$588.84	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $602.56	Professional		$562.34	$562.34	$602.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $812.83 / $977.24	Professional		$758.58	$812.83	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $602.56	Professional		$467.74	$512.86	$602.56
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 $457.09 / $588.84 / $758.58	Professional		$457.09	$588.84	$758.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $416.87 / $630.96	Professional		$29.51	$416.87	$630.96