Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,025.60	Facility		$2,570.40	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,445.44	Professional		$912.01	$1,047.13	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,412.54	Professional		$1,000.00	$1,174.90	$1,412.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $1,778.28	Professional		$1,412.54	$1,584.89	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,380.38	Professional		$954.99	$1,096.48	$1,380.38
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 $831.76 / $1,202.26 / $1,698.24	Professional		$831.76	$1,202.26	$1,698.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,230.27 / $1,698.24	Professional		$173.78	$1,230.27	$1,698.24