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 $691.83 / $831.76 / $1,000.00	Professional		$691.83	$831.76	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,000.00	Professional		$794.33	$933.25	$1,000.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $12,589.25	Professional		$1,096.48	$1,412.54	$12,589.25
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 $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,288.25	Professional		$812.83	$1,023.29	$1,288.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $11,481.54 / $15,488.17	Professional		$1,096.48	$11,481.54	$15,488.17