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 $691.83 / $1,174.90 / $1,698.24	Professional		$691.83	$1,174.90	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,412.54	Professional		$870.96	$1,047.13	$1,412.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $5,248.07	Professional		$1,548.82	$1,949.84	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,698.24	Professional		$1,258.93	$1,380.38	$1,698.24
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 $1,096.48 / $1,258.93 / $1,737.80	Professional		$1,096.48	$1,258.93	$1,737.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $6,165.95	Professional		$1,148.15	$3,235.94	$6,165.95