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 $776.25 / $851.14 / $1,202.26	Professional		$776.25	$851.14	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $3,388.44	Professional		$851.14	$1,071.52	$3,388.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $1,548.82	Professional		$1,202.26	$1,479.11	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,230.27	Professional		$812.83	$977.24	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,621.81	Professional		$776.25	$1,096.48	$1,621.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $794.33 / $1,737.80	Professional		$29.51	$794.33	$1,737.80