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 $112.20 / $870.96 / $1,737.80	Professional		$112.20	$870.96	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $933.25 / $2,754.23	Professional		$138.04	$933.25	$2,754.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $2,238.72	Professional		$190.55	$239.88	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $1,348.96 / $1,778.28	Professional		$114.82	$1,348.96	$1,778.28
United 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
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $954.99 / $1,737.80	Professional		$123.03	$954.99	$1,737.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $1,737.80 / $6,606.93	Professional		$134.90	$1,737.80	$6,606.93