Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,202.26	Professional		$602.56	$812.83	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,071.52	Professional		$891.25	$891.25	$1,071.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $7,413.10	Professional		$1,148.15	$1,513.56	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,202.26	Professional		$691.83	$1,000.00	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,380.38	Professional		$660.69	$1,023.29	$1,380.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,041.74 / $5,370.32	Professional		$776.25	$2,041.74	$5,370.32