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 $724.44 / $812.83 / $1,096.48	Professional		$724.44	$812.83	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,096.48	Professional		$776.25	$912.01	$1,096.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,380.38	Professional		$1,047.13	$1,148.15	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,122.02	Professional		$794.33	$891.25	$1,122.02
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 / $1,258.93	Professional		$616.60	$933.25	$1,258.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,691.53 / $6,165.95	Professional		$870.96	$2,691.53	$6,165.95