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 $1,000.00 / $1,096.48 / $1,288.25	Professional		$1,000.00	$1,096.48	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,230.27	Professional		$977.24	$1,202.26	$1,230.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,905.46	Professional		$1,445.44	$1,548.82	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,047.13 / $1,318.26	Professional		$977.24	$1,047.13	$1,318.26
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 $977.24 / $1,258.93 / $1,584.89	Professional		$977.24	$1,258.93	$1,584.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,000.00 / $1,584.89	Professional		$29.51	$1,000.00	$1,584.89