Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,495.41 / $5,495.41	Facility		$1,905.46	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,288.25	Professional		$794.33	$912.01	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,258.93	Professional		$891.25	$1,071.52	$1,258.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $13,182.57	Professional		$1,258.93	$1,288.25	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,288.25	Professional		$912.01	$1,023.29	$1,288.25
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 $724.44 / $1,148.15 / $1,479.11	Professional		$724.44	$1,148.15	$1,479.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,000.00 / $1,258.93	Professional		$29.51	$1,000.00	$1,258.93