Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,584.89	Professional		$1,047.13	$1,288.25	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,621.81	Professional		$1,288.25	$1,412.54	$1,621.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,778.28	Professional		$1,348.96	$1,479.11	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,778.28	Professional		$1,318.26	$1,412.54	$1,778.28
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 $1,318.26 / $1,445.44 / $2,041.74	Professional		$1,318.26	$1,445.44	$2,041.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,174.90 / $1,995.26	Professional		$29.51	$1,174.90	$1,995.26