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 $851.14 / $954.99 / $1,288.25	Professional		$851.14	$954.99	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $1,288.25	Professional		$912.01	$954.99	$1,288.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,621.81	Professional		$1,230.27	$1,348.96	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,288.25	Professional		$912.01	$1,047.13	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,479.11	Professional		$724.44	$1,071.52	$1,479.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $6,309.57 / $9,772.37	Professional		$831.76	$6,309.57	$9,772.37