Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $1,148.15	Professional		$741.31	$812.83	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,148.15	Professional		$812.83	$954.99	$1,148.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $7,943.28	Professional		$1,122.02	$1,288.25	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,202.26	Professional		$851.14	$977.24	$1,202.26
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 $645.65 / $933.25 / $1,318.26	Professional		$645.65	$933.25	$1,318.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,089.30 / $5,370.32	Professional		$870.96	$2,089.30	$5,370.32