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 $616.60 / $707.95 / $1,023.29	Professional		$616.60	$707.95	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $2,691.53	Professional		$676.08	$870.96	$2,691.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,202.26	Professional		$891.25	$1,000.00	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,000.00	Professional		$676.08	$794.33	$1,000.00
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 $616.60 / $870.96 / $1,148.15	Professional		$616.60	$870.96	$1,148.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $660.69 / $1,071.52	Professional		$29.51	$660.69	$1,071.52