Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.76 / $1,219.19 / $1,564.74	Facility		$1,075.76	$1,219.19	$1,564.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,564.74 / $1,564.74 / $1,564.74	Professional		$1,564.74	$1,564.74	$1,564.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $714.12 / $840.14 / $1,002.91	Professional		$714.12	$840.14	$1,002.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,564.74 / $1,955.93	Professional		$1,303.95	$1,564.74	$1,955.93
United Facility/Professional Professional Modifier Low / Median / High Price $877.35 / $1,564.74 / $1,564.74	Professional		$877.35	$1,564.74	$1,564.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $1,052.82 / $1,916.81	Professional		$497.17	$1,052.82	$1,916.81