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 $602.56 / $741.31 / $1,023.29	Professional		$602.56	$741.31	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,000.00	Professional		$707.95	$851.14	$1,000.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,348.96	Professional		$1,023.29	$1,122.02	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,047.13	Professional		$724.44	$831.76	$1,047.13
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 $562.34 / $912.01 / $1,148.15	Professional		$562.34	$912.01	$1,148.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $3,235.94 / $6,165.95	Professional		$977.24	$3,235.94	$6,165.95