Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,318.26	Professional		$933.25	$1,071.52	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,174.90	Professional		$933.25	$1,148.15	$1,174.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $12,589.25	Professional		$1,380.38	$1,819.70	$12,589.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,258.93	Professional		$933.25	$1,023.29	$1,258.93
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 $954.99 / $1,202.26 / $1,513.56	Professional		$954.99	$1,202.26	$1,513.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,235.94 / $6,165.95	Professional		$1,096.48	$3,235.94	$6,165.95