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 / $912.01 / $1,122.02	Professional		$691.83	$912.01	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,122.02	Professional		$831.76	$977.24	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,698.24	Professional		$1,288.25	$1,412.54	$1,698.24
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 $933.25 / $1,096.48 / $1,479.11	Professional		$933.25	$1,096.48	$1,479.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $831.76 / $1,380.38	Professional		$29.51	$831.76	$1,380.38