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 $478.63 / $602.56 / $1,000.00	Professional		$478.63	$602.56	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,023.29	Professional		$602.56	$758.58	$1,023.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $2,398.83	Professional		$851.14	$977.24	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,230.27	Professional		$724.44	$977.24	$1,230.27
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 $478.63 / $776.25 / $1,023.29	Professional		$478.63	$776.25	$1,023.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $691.83 / $1,023.29	Professional		$128.82	$691.83	$1,023.29