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 $223.87 / $309.03 / $436.52	Professional		$223.87	$309.03	$436.52
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 $245.47 / $380.19 / $1,047.13	Professional		$245.47	$380.19	$1,047.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $478.63	Professional		$389.05	$436.52	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $575.44	Professional		$275.42	$416.87	$575.44
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 $218.78 / $331.13 / $512.86	Professional		$218.78	$331.13	$512.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,995.26 / $5,370.32	Professional		$295.12	$1,995.26	$5,370.32