Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,892.52 / $1,892.52 / $1,892.52	Facility		$1,892.52	$1,892.52	$1,892.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.66 / $733.67 / $1,007.54	Professional		$733.66	$733.67	$1,007.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.44 / $1,145.44 / $1,145.44	Facility		$1,145.44	$1,145.44	$1,145.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.96 / $733.67 / $843.67	Professional		$655.96	$733.67	$843.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $875.31 / $875.31 / $875.31	Professional		$875.31	$875.31	$875.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $880.40 / $1,027.13	Professional		$733.67	$880.40	$1,027.13
United Facility/Professional Professional Modifier Low / Median / High Price $655.96 / $733.67 / $1,100.51	Professional		$655.96	$733.67	$1,100.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $397.55 / $604.78 / $850.70	Professional		$397.55	$604.78	$850.70