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 $741.31 / $1,174.90 / $1,230.27	Professional		$741.31	$1,174.90	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,288.25	Professional		$1,096.48	$1,096.48	$1,288.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $8,709.64 / $12,882.50	Professional		$1,479.11	$8,709.64	$12,882.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,148.15	Professional		$912.01	$1,000.00	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,479.11	Professional		$891.25	$1,148.15	$1,479.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,202.26 / $1,819.70	Professional		$29.51	$1,202.26	$1,819.70