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 $549.54 / $831.76 / $1,548.82	Professional		$549.54	$831.76	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,479.11	Professional		$724.44	$1,071.52	$1,479.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $4,570.88	Professional		$1,000.00	$1,258.93	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,122.02 / $1,445.44	Professional		$630.96	$1,122.02	$1,445.44
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 $501.19 / $954.99 / $1,348.96	Professional		$501.19	$954.99	$1,348.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,570.40 / $6,165.95	Professional		$724.44	$2,570.40	$6,165.95