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 $309.03 / $1,348.96 / $2,344.23	Professional		$309.03	$1,348.96	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,949.84 / $2,290.87	Professional		$338.84	$1,949.84	$2,290.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $2,754.23	Professional		$562.34	$691.83	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,778.28 / $2,238.72	Professional		$331.13	$1,778.28	$2,238.72
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 $426.58 / $1,737.80 / $2,884.03	Professional		$426.58	$1,737.80	$2,884.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $2,570.40	Professional		$316.23	$478.63	$2,570.40