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 $954.99 / $1,047.13 / $1,548.82	Professional		$954.99	$1,047.13	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $4,073.80	Professional		$977.24	$1,288.25	$4,073.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $1,819.70	Professional		$1,348.96	$1,513.56	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,348.96	Professional		$912.01	$1,096.48	$1,348.96
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 $933.25 / $1,288.25 / $1,698.24	Professional		$933.25	$1,288.25	$1,698.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $933.25 / $1,479.11	Professional		$29.51	$933.25	$1,479.11