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 $194.98 / $724.44 / $1,348.96	Professional		$194.98	$724.44	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $851.14 / $1,819.70	Professional		$234.42	$851.14	$1,819.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $1,819.70	Professional		$338.84	$426.58	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $870.96 / $1,122.02	Professional		$194.98	$870.96	$1,122.02
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 / $831.76 / $1,445.44	Professional		$218.78	$831.76	$1,445.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,023.29 / $3,715.35	Professional		$158.49	$1,023.29	$3,715.35