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 $891.25 / $933.25 / $1,148.15	Professional		$891.25	$933.25	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,071.52	Professional		$870.96	$1,071.52	$1,071.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $12,589.25	Professional		$1,288.25	$1,659.59	$12,589.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $1,174.90	Professional		$870.96	$954.99	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,380.38	Professional		$870.96	$1,096.48	$1,380.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,041.74 / $5,370.32	Professional		$776.25	$2,041.74	$5,370.32