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 $776.25 / $891.25 / $1,122.02	Professional		$776.25	$891.25	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $977.24	Professional		$776.25	$954.99	$977.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,479.11	Professional		$1,122.02	$1,230.27	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $1,071.52	Professional		$776.25	$851.14	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,258.93	Professional		$794.33	$1,000.00	$1,258.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $3,235.94 / $6,165.95	Professional		$933.25	$3,235.94	$6,165.95