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 $389.05 / $457.09 / $645.65	Professional		$389.05	$457.09	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $1,621.81	Professional		$457.09	$549.54	$1,621.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $741.31	Professional		$562.34	$630.96	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $602.56	Professional		$407.38	$489.78	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $724.44	Professional		$398.11	$537.03	$724.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $407.38 / $691.83	Professional		$29.51	$407.38	$691.83