Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,025.60	Facility		$2,570.40	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,148.15	Professional		$676.08	$776.25	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,884.03	Professional		$758.58	$977.24	$2,884.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,348.96	Professional		$1,000.00	$1,122.02	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,071.52	Professional		$724.44	$870.96	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,258.93	Professional		$691.83	$933.25	$1,258.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $758.58 / $1,230.27	Professional		$128.82	$758.58	$1,230.27