Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,495.41 / $5,495.41	Facility		$1,949.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,445.44	Professional		$812.83	$1,023.29	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,258.93	Professional		$1,000.00	$1,174.90	$1,258.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $7,943.28	Professional		$1,380.38	$1,778.28	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,445.44	Professional		$1,071.52	$1,174.90	$1,445.44
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 $1,023.29 / $1,202.26 / $1,621.81	Professional		$1,023.29	$1,202.26	$1,621.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $4,570.88 / $7,943.28	Professional		$1,380.38	$4,570.88	$7,943.28