Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,495.41 / $5,495.41	Facility		$1,949.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,348.96	Professional		$891.25	$977.24	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,348.96	Professional		$954.99	$1,122.02	$1,348.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $9,549.93	Professional		$1,348.96	$1,348.96	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,348.96	Professional		$954.99	$1,096.48	$1,348.96
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 $758.58 / $1,148.15 / $1,548.82	Professional		$758.58	$1,148.15	$1,548.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $4,073.80 / $7,943.28	Professional		$1,148.15	$4,073.80	$7,943.28