Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,025.60	Facility		$2,570.40	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,584.89 / $2,398.83	Professional		$707.95	$1,584.89	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,862.09 / $2,454.71	Professional		$676.08	$1,862.09	$2,454.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $7,079.46	Professional		$1,122.02	$1,548.82	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $794.33	Professional		$588.84	$645.65	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,698.24 / $3,467.37	Professional		$851.14	$1,698.24	$3,467.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $8,511.38 / $13,803.84	Professional		$831.76	$8,511.38	$13,803.84