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 $316.23 / $446.68 / $676.08	Professional		$316.23	$446.68	$676.08
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 $331.13 / $537.03 / $1,445.44	Professional		$331.13	$537.03	$1,445.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $812.83	Professional		$537.03	$630.96	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $741.31	Professional		$407.38	$588.84	$741.31
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 $309.03 / $467.74 / $691.83	Professional		$309.03	$467.74	$691.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,995.26 / $5,370.32	Professional		$426.58	$1,995.26	$5,370.32