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 $891.25 / $1,047.13 / $1,479.11	Professional		$891.25	$1,047.13	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $3,715.35	Professional		$1,047.13	$1,318.26	$3,715.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $1,819.70	Professional		$1,412.54	$1,737.80	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,412.54	Professional		$954.99	$1,148.15	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,659.59	Professional		$912.01	$1,230.27	$1,659.59
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