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 $660.69 / $831.76 / $933.25	Professional		$660.69	$831.76	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,023.29	Professional		$831.76	$1,000.00	$1,023.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $14,791.08	Professional		$1,174.90	$1,513.56	$14,791.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $1,096.48	Professional		$812.83	$891.25	$1,096.48
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 $831.76 / $1,023.29 / $1,318.26	Professional		$831.76	$1,023.29	$1,318.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $758.58 / $1,380.38	Professional		$29.51	$758.58	$1,380.38