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 $831.76 / $912.01 / $1,288.25	Professional		$831.76	$912.01	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,258.93	Professional		$891.25	$1,096.48	$1,258.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,584.89	Professional		$1,258.93	$1,445.44	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,258.93	Professional		$891.25	$1,000.00	$1,258.93
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 $724.44 / $1,071.52 / $1,479.11	Professional		$724.44	$1,071.52	$1,479.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $831.76 / $1,513.56	Professional		$29.51	$831.76	$1,513.56