Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,495.41 / $5,495.41	Facility		$1,949.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,445.44	Professional		$851.14	$1,047.13	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,479.11	Professional		$1,047.13	$1,096.48	$1,479.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $1,905.46	Professional		$1,479.11	$1,659.59	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,445.44	Professional		$1,023.29	$1,148.15	$1,445.44
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 $758.58 / $1,122.02 / $1,584.89	Professional		$758.58	$1,122.02	$1,584.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,023.29 / $1,445.44	Professional		$181.97	$1,023.29	$1,445.44