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 $776.25 / $954.99 / $1,202.26	Professional		$776.25	$954.99	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,202.26	Professional		$851.14	$1,000.00	$1,202.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,584.89	Professional		$1,202.26	$1,380.38	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,412.54	Professional		$1,000.00	$1,148.15	$1,412.54
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 $660.69 / $912.01 / $1,380.38	Professional		$660.69	$912.01	$1,380.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $794.33 / $1,174.90	Professional		$29.51	$794.33	$1,174.90