Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.91 / $1,262.43 / $1,620.23	Facility		$1,113.91	$1,262.43	$1,620.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $728.00 / $728.00	Professional		$728.00	$728.00	$728.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.23 / $1,620.23 / $1,620.23	Professional		$1,620.23	$1,620.23	$1,620.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,201.74 / $1,413.81 / $1,687.74	Professional		$1,201.74	$1,413.81	$1,687.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,620.23 / $2,025.29	Professional		$1,350.19	$1,620.23	$2,025.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,620.23 / $2,025.29	Professional		$1,350.19	$1,620.23	$2,025.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,147.66 / $1,984.78 / $3,037.93	Professional		$1,147.66	$1,984.78	$3,037.93