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 $331.13 / $371.54 / $537.03	Professional		$331.13	$371.54	$537.03
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 $371.54 / $489.78 / $1,380.38	Professional		$371.54	$489.78	$1,380.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $7,943.28	Professional		$676.08	$851.14	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $467.74	Professional		$316.23	$371.54	$467.74
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 $338.84 / $457.09 / $676.08	Professional		$338.84	$457.09	$676.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $2,089.30 / $5,370.32	Professional		$446.68	$2,089.30	$5,370.32