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 $912.01 / $1,023.29 / $1,513.56	Professional		$912.01	$1,023.29	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $3,801.89	Professional		$1,000.00	$1,230.27	$3,801.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $1,737.80	Professional		$1,318.26	$1,479.11	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,380.38	Professional		$933.25	$1,122.02	$1,380.38
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 / $1,258.93 / $1,659.59	Professional		$912.01	$1,258.93	$1,659.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $891.25 / $1,445.44	Professional		$29.51	$891.25	$1,445.44