Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,258.93	Professional		$645.65	$891.25	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,047.13	Professional		$831.76	$977.24	$1,047.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,479.11	Professional		$1,122.02	$1,230.27	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $1,148.15	Professional		$831.76	$912.01	$1,148.15
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 $870.96 / $1,000.00 / $1,318.26	Professional		$870.96	$1,000.00	$1,318.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,089.30 / $5,370.32	Professional		$977.24	$2,089.30	$5,370.32