Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,071.52	Professional		$691.83	$776.25	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,047.13	Professional		$741.31	$891.25	$1,047.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $1,096.48	Professional		$812.83	$891.25	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,096.48	Professional		$776.25	$870.96	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,230.27	Professional		$602.56	$812.83	$1,230.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,089.30 / $5,370.32	Professional		$870.96	$2,089.30	$5,370.32