Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.86 / $1,513.86 / $1,513.86	Facility		$1,513.86	$1,513.86	$1,513.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $662.30 / $2,640.00	Professional		$636.59	$662.30	$2,640.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.86 / $1,513.86 / $1,513.86	Facility		$1,513.86	$1,513.86	$1,513.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $824.39 / $824.39 / $824.39	Professional		$824.39	$824.39	$824.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.25 / $763.91 / $891.23	Professional		$700.25	$763.91	$891.23
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $677.58 / $954.89	Professional		$636.59	$677.58	$954.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $663.64 / $864.39 / $1,058.45	Professional		$663.64	$864.39	$1,058.45