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 $741.31 / $851.14 / $1,174.90	Professional		$741.31	$851.14	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,047.13	Professional		$831.76	$1,023.29	$1,047.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,513.56	Professional		$1,122.02	$1,230.27	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $891.25 / $1,122.02	Professional		$831.76	$891.25	$1,122.02
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 $870.96 / $1,047.13 / $1,380.38	Professional		$870.96	$1,047.13	$1,380.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,047.13 / $5,888.44	Professional		$29.51	$1,047.13	$5,888.44