Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,025.60	Facility		$2,570.40	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,445.44	Professional		$954.99	$1,047.13	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,445.44	Professional		$1,023.29	$1,202.26	$1,445.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $1,819.70	Professional		$1,380.38	$1,479.11	$1,819.70
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 $2,884.03 / $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 $831.76 / $1,230.27 / $1,659.59	Professional		$831.76	$1,230.27	$1,659.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $4,677.35 / $9,332.54	Professional		$1,258.93	$4,677.35	$9,332.54