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 $741.31 / $831.76 / $1,148.15	Professional		$741.31	$831.76	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,122.02	Professional		$794.33	$933.25	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,412.54	Professional		$1,071.52	$1,174.90	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,096.48	Professional		$776.25	$891.25	$1,096.48
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 $616.60 / $933.25 / $1,230.27	Professional		$616.60	$933.25	$1,230.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $812.83 / $1,096.48	Professional		$29.51	$812.83	$1,096.48