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 $316.23 / $891.25 / $954.99	Professional		$316.23	$891.25	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $912.01	Professional		$630.96	$630.96	$912.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,202.26	Professional		$933.25	$1,000.00	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $1,071.52	Professional		$831.76	$912.01	$1,071.52
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 $676.08 / $831.76 / $1,122.02	Professional		$676.08	$831.76	$1,122.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $691.83 / $977.24	Professional		$29.51	$691.83	$977.24