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 $741.31 / $954.99 / $2,630.27	Professional		$741.31	$954.99	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,288.25	Professional		$1,071.52	$1,071.52	$1,288.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $7,413.10	Professional		$1,412.54	$1,737.80	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,380.38	Professional		$831.76	$1,174.90	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,659.59	Professional		$776.25	$1,096.48	$1,659.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,041.74 / $5,370.32	Professional		$870.96	$2,041.74	$5,370.32