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 $630.96 / $812.83 / $1,148.15	Professional		$630.96	$812.83	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $2,818.38	Professional		$724.44	$977.24	$2,818.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $1,513.56	Professional		$1,122.02	$1,258.93	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,174.90	Professional		$660.69	$891.25	$1,174.90
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 $645.65 / $954.99 / $1,348.96	Professional		$645.65	$954.99	$1,348.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $3,311.31 / $7,585.78	Professional		$812.83	$3,311.31	$7,585.78