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 $562.34 / $758.58 / $1,047.13	Professional		$562.34	$758.58	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,071.52	Professional		$660.69	$794.33	$1,071.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,348.96	Professional		$1,023.29	$1,122.02	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,096.48	Professional		$758.58	$870.96	$1,096.48
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 $616.60 / $794.33 / $1,258.93	Professional		$616.60	$794.33	$1,258.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $707.95 / $1,047.13	Professional		$29.51	$707.95	$1,047.13