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 $954.99 / $1,258.93 / $1,905.46	Professional		$954.99	$1,258.93	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,348.96	Professional		$1,096.48	$1,096.48	$1,348.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $6,606.93 / $12,589.25	Professional		$1,479.11	$6,606.93	$12,589.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,348.96	Professional		$1,071.52	$1,174.90	$1,348.96
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 / $1,318.26 / $1,737.80	Professional		$870.96	$1,318.26	$1,737.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,235.94 / $6,165.95	Professional		$1,096.48	$3,235.94	$6,165.95