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 / $776.25 / $1,047.13	Professional		$691.83	$776.25	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,047.13	Professional		$741.31	$870.96	$1,047.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $9,549.93	Professional		$1,047.13	$1,047.13	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $1,071.52	Professional		$758.58	$851.14	$1,071.52
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 $588.84 / $891.25 / $1,202.26	Professional		$588.84	$891.25	$1,202.26
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