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 $831.76 / $933.25 / $1,288.25	Professional		$831.76	$933.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,258.93	Professional		$891.25	$1,071.52	$1,258.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,698.24	Professional		$1,288.25	$1,380.38	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,288.25	Professional		$912.01	$1,023.29	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,479.11	Professional		$724.44	$1,148.15	$1,479.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $3,235.94 / $6,165.95	Professional		$1,122.02	$3,235.94	$6,165.95