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 $691.83 / $794.33 / $1,122.02	Professional		$691.83	$794.33	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,122.02	Professional		$794.33	$891.25	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,445.44	Professional		$1,096.48	$1,202.26	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,202.26	Professional		$851.14	$977.24	$1,202.26
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 $588.84 / $912.01 / $1,230.27	Professional		$588.84	$912.01	$1,230.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,691.53 / $6,165.95	Professional		$891.25	$2,691.53	$6,165.95