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 $691.83 / $812.83 / $1,023.29	Professional		$691.83	$812.83	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,000.00	Professional		$794.33	$954.99	$1,000.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,412.54	Professional		$1,071.52	$1,174.90	$1,412.54
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 $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 $812.83 / $1,000.00 / $1,288.25	Professional		$812.83	$1,000.00	$1,288.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $741.31 / $1,318.26	Professional		$29.51	$741.31	$1,318.26