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 $776.25 / $1,096.48 / $1,548.82	Professional		$776.25	$1,096.48	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,513.56	Professional		$977.24	$1,122.02	$1,513.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,445.44	Professional		$1,071.52	$1,174.90	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,513.56	Professional		$1,071.52	$1,230.27	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,778.28	Professional		$758.58	$1,122.02	$1,778.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,691.53 / $6,165.95	Professional		$1,000.00	$2,691.53	$6,165.95