Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $630.96 / $954.99	Professional		$158.49	$630.96	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,000.00 / $1,122.02	Professional		$194.98	$1,000.00	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $2,454.71	Professional		$295.12	$426.58	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $794.33 / $1,000.00	Professional		$165.96	$794.33	$1,000.00
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 $223.87 / $812.83 / $1,412.54	Professional		$223.87	$812.83	$1,412.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $3,801.89 / $5,888.44	Professional		$30.90	$3,801.89	$5,888.44