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 $812.83 / $1,023.29 / $1,288.25	Professional		$812.83	$1,023.29	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,202.26	Professional		$1,000.00	$1,096.48	$1,202.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,698.24	Professional		$1,258.93	$1,380.38	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,445.44	Professional		$1,071.52	$1,148.15	$1,445.44
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 $977.24 / $1,122.02 / $1,513.56	Professional		$977.24	$1,122.02	$1,513.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $912.01 / $1,318.26	Professional		$29.51	$912.01	$1,318.26