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 $691.83 / $776.25 / $1,096.48	Professional		$691.83	$776.25	$1,096.48
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 $776.25 / $933.25 / $3,019.95	Professional		$776.25	$933.25	$3,019.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,412.54	Professional		$1,096.48	$1,348.96	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,096.48	Professional		$741.31	$891.25	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,258.93	Professional		$676.08	$954.99	$1,258.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,089.30 / $5,370.32	Professional		$870.96	$2,089.30	$5,370.32