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 / $933.25 / $1,096.48	Professional		$776.25	$933.25	$1,096.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $7,943.28	Professional		$1,071.52	$1,230.27	$7,943.28
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 $630.96 / $933.25 / $1,258.93	Professional		$630.96	$933.25	$1,258.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $933.25 / $1,348.96	Professional		$29.51	$933.25	$1,348.96