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 $794.33 / $912.01 / $1,230.27	Professional		$794.33	$912.01	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,202.26	Professional		$851.14	$1,000.00	$1,202.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,548.82	Professional		$1,348.96	$1,348.96	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,202.26	Professional		$851.14	$954.99	$1,202.26
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 $691.83 / $1,096.48 / $1,412.54	Professional		$691.83	$1,096.48	$1,412.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,047.13 / $1,174.90	Professional		$29.51	$1,047.13	$1,174.90