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 $588.84 / $1,096.48 / $1,148.15	Professional		$588.84	$1,096.48	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,174.90	Professional		$1,023.29	$1,023.29	$1,174.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,659.59	Professional		$1,258.93	$1,348.96	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,096.48	Professional		$851.14	$933.25	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,380.38	Professional		$831.76	$1,047.13	$1,380.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,047.13 / $1,698.24	Professional		$29.51	$1,047.13	$1,698.24