Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.08 / $1,390.69 / $1,784.84	Facility		$1,227.08	$1,390.69	$1,784.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.84 / $1,784.84 / $1,784.84	Professional		$1,784.84	$1,784.84	$1,784.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,323.83 / $1,557.45 / $1,859.21	Professional		$1,323.83	$1,557.45	$1,859.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,487.37 / $1,784.84 / $2,231.06	Professional		$1,487.37	$1,784.84	$2,231.06
United Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $1,784.84 / $2,231.06	Professional		$624.70	$1,784.84	$2,231.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,041.16 / $1,859.21 / $2,677.27	Professional		$1,041.16	$1,859.21	$2,677.27