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 / $977.24 / $1,174.90	Professional		$912.01	$977.24	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,122.02	Professional		$891.25	$1,096.48	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,659.59	Professional		$1,258.93	$1,380.38	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,230.27	Professional		$891.25	$977.24	$1,230.27
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 / $1,122.02 / $1,445.44	Professional		$912.01	$1,122.02	$1,445.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $912.01 / $1,445.44	Professional		$29.51	$912.01	$1,445.44