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 $707.95 / $1,288.25 / $1,380.38	Professional		$707.95	$1,288.25	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,445.44	Professional		$1,230.27	$1,230.27	$1,445.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $1,949.84	Professional		$1,513.56	$1,621.81	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,288.25	Professional		$1,023.29	$1,122.02	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,659.59	Professional		$1,000.00	$1,288.25	$1,659.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $912.01 / $1,479.11	Professional		$29.51	$912.01	$1,479.11