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 $151.36 / $1,412.54 / $2,951.21	Professional		$151.36	$1,412.54	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $2,137.96 / $4,265.80	Professional		$162.18	$2,137.96	$4,265.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,659.59 / $3,090.30	Professional		$251.19	$1,659.59	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $1,778.28 / $2,187.76	Professional		$134.90	$1,778.28	$2,187.76
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 $186.21 / $1,737.80 / $5,495.41	Professional		$186.21	$1,737.80	$5,495.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $323.59 / $2,754.23	Professional		$158.49	$323.59	$2,754.23