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 $676.08 / $1,096.48 / $1,513.56	Professional		$676.08	$1,096.48	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,288.25	Professional		$870.96	$1,023.29	$1,288.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $8,709.64 / $12,882.50	Professional		$1,513.56	$8,709.64	$12,882.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,122.02 / $1,412.54	Professional		$1,047.13	$1,122.02	$1,412.54
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 $1,047.13 / $1,174.90 / $1,584.89	Professional		$1,047.13	$1,174.90	$1,584.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $4,677.35 / $9,332.54	Professional		$1,258.93	$4,677.35	$9,332.54