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 $794.33 / $851.14 / $1,096.48	Professional		$794.33	$851.14	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,122.02	Professional		$794.33	$977.24	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $7,943.28	Professional		$1,096.48	$1,258.93	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,148.15	Professional		$812.83	$912.01	$1,148.15
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 $645.65 / $954.99 / $1,318.26	Professional		$645.65	$954.99	$1,318.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,691.53 / $6,165.95	Professional		$954.99	$2,691.53	$6,165.95