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 $457.09 / $524.81 / $724.44	Professional		$457.09	$524.81	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $1,995.26	Professional		$512.86	$630.96	$1,995.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $891.25	Professional		$676.08	$758.58	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $691.83	Professional		$457.09	$549.54	$691.83
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 $446.68 / $630.96 / $831.76	Professional		$446.68	$630.96	$831.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $3,235.94 / $6,165.95	Professional		$616.60	$3,235.94	$6,165.95