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 $645.65 / $776.25 / $933.25	Professional		$645.65	$776.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $851.14	Professional		$660.69	$794.33	$851.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $12,589.25	Professional		$977.24	$1,288.25	$12,589.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $758.58 / $954.99	Professional		$691.83	$758.58	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,071.52	Professional		$691.83	$831.76	$1,071.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $3,235.94 / $6,165.95	Professional		$891.25	$3,235.94	$6,165.95