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 $676.08 / $831.76 / $1,148.15	Professional		$676.08	$831.76	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,122.02	Professional		$794.33	$912.01	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $8,912.51	Professional		$1,148.15	$1,380.38	$8,912.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,230.27	Professional		$691.83	$977.24	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $1,288.25	Professional		$562.34	$1,000.00	$1,288.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,041.74 / $5,370.32	Professional		$794.33	$2,041.74	$5,370.32