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 $758.58 / $831.76 / $1,148.15	Professional		$758.58	$831.76	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,122.02	Professional		$794.33	$954.99	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $13,182.57	Professional		$1,122.02	$1,148.15	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,148.15	Professional		$812.83	$933.25	$1,148.15
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 $645.65 / $977.24 / $1,318.26	Professional		$645.65	$977.24	$1,318.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $3,981.07 / $9,332.54	Professional		$954.99	$3,981.07	$9,332.54