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 $575.44 / $645.65 / $912.01	Professional		$575.44	$645.65	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $2,454.71	Professional		$645.65	$776.25	$2,454.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $5,248.07	Professional		$812.83	$933.25	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $831.76	Professional		$562.34	$676.08	$831.76
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 $549.54 / $776.25 / $1,047.13	Professional		$549.54	$776.25	$1,047.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $2,041.74 / $5,370.32	Professional		$630.96	$2,041.74	$5,370.32