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 $562.34 / $630.96 / $870.96	Professional		$562.34	$630.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $870.96	Professional		$616.60	$724.44	$870.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,148.15	Professional		$851.14	$933.25	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $891.25	Professional		$630.96	$724.44	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,000.00	Professional		$489.78	$794.33	$1,000.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $3,235.94 / $6,165.95	Professional		$831.76	$3,235.94	$6,165.95