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 $602.56 / $724.44 / $1,023.29	Professional		$602.56	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,000.00	Professional		$707.95	$812.83	$1,000.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,318.26	Professional		$1,023.29	$1,148.15	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $1,047.13	Professional		$741.31	$831.76	$1,047.13
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 $575.44 / $794.33 / $1,174.90	Professional		$575.44	$794.33	$1,174.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $660.69 / $1,000.00	Professional		$29.51	$660.69	$1,000.00