Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,288.25	Professional		$891.25	$1,000.00	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,318.26	Professional		$933.25	$1,122.02	$1,318.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $7,943.28	Professional		$1,288.25	$1,479.11	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,348.96	Professional		$933.25	$1,071.52	$1,348.96
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 $758.58 / $1,047.13 / $1,548.82	Professional		$758.58	$1,047.13	$1,548.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,089.30 / $5,370.32	Professional		$912.01	$2,089.30	$5,370.32