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 / $724.44 / $1,000.00	Professional		$602.56	$724.44	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $776.25 / $1,023.29	Professional		$724.44	$776.25	$1,023.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,288.25	Professional		$977.24	$1,071.52	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,096.48	Professional		$776.25	$891.25	$1,096.48
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 $512.86 / $794.33 / $1,096.48	Professional		$512.86	$794.33	$1,096.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,691.53 / $6,165.95	Professional		$794.33	$2,691.53	$6,165.95