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 $870.96 / $1,023.29 / $1,412.54	Professional		$870.96	$1,023.29	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,412.54	Professional		$1,000.00	$1,202.26	$1,412.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,905.46	Professional		$1,445.44	$1,548.82	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,412.54	Professional		$1,000.00	$1,122.02	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,621.81	Professional		$812.83	$1,288.25	$1,621.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $3,235.94 / $6,165.95	Professional		$1,202.26	$3,235.94	$6,165.95