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 $707.95 / $758.58 / $1,047.13	Professional		$707.95	$758.58	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,047.13	Professional		$741.31	$891.25	$1,047.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,318.26	Professional		$1,000.00	$1,096.48	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,023.29	Professional		$724.44	$831.76	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,230.27	Professional		$602.56	$851.14	$1,230.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,951.21 / $5,370.32	Professional		$870.96	$2,951.21	$5,370.32