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 $776.25 / $954.99 / $1,513.56	Professional		$776.25	$954.99	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,258.93	Professional		$1,023.29	$1,023.29	$1,258.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,737.80	Professional		$1,318.26	$1,445.44	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,288.25	Professional		$1,000.00	$1,096.48	$1,288.25
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 $812.83 / $1,230.27 / $1,621.81	Professional		$812.83	$1,230.27	$1,621.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $933.25 / $1,445.44	Professional		$29.51	$933.25	$1,445.44