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 $794.33 / $831.76 / $1,023.29	Professional		$794.33	$831.76	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $954.99	Professional		$776.25	$933.25	$954.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,445.44	Professional		$1,096.48	$1,202.26	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $1,071.52	Professional		$776.25	$851.14	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,258.93	Professional		$794.33	$1,000.00	$1,258.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $794.33 / $1,288.25	Professional		$29.51	$794.33	$1,288.25