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 $977.24 / $1,148.15 / $1,412.54	Professional		$977.24	$1,148.15	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,412.54	Professional		$1,122.02	$1,380.38	$1,412.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $14,791.08	Professional		$1,548.82	$1,995.26	$14,791.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,513.56	Professional		$1,096.48	$1,202.26	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,862.09	Professional		$1,148.15	$1,412.54	$1,862.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,023.29 / $1,949.84	Professional		$29.51	$1,023.29	$1,949.84