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 $407.38 / $549.54 / $912.01	Professional		$407.38	$549.54	$912.01
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 $416.87 / $645.65 / $1,778.28	Professional		$416.87	$645.65	$1,778.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $977.24	Professional		$707.95	$794.33	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $870.96	Professional		$489.78	$676.08	$870.96
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 $398.11 / $588.84 / $870.96	Professional		$398.11	$588.84	$870.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,570.40 / $6,165.95	Professional		$478.63	$2,570.40	$6,165.95