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 $794.33 / $912.01 / $1,122.02	Professional		$794.33	$912.01	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,096.48	Professional		$776.25	$1,023.29	$1,096.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $5,248.07	Professional		$1,174.90	$1,380.38	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,096.48	Professional		$776.25	$870.96	$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 $645.65 / $1,023.29 / $1,348.96	Professional		$645.65	$1,023.29	$1,348.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,235.94 / $6,165.95	Professional		$1,096.48	$3,235.94	$6,165.95