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 $851.14 / $1,000.00 / $1,479.11	Professional		$851.14	$1,000.00	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,258.93	Professional		$1,071.52	$1,071.52	$1,258.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $5,495.41	Professional		$1,288.25	$1,737.80	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,288.25	Professional		$1,000.00	$1,096.48	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,479.11	Professional		$933.25	$1,202.26	$1,479.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,235.94 / $6,165.95	Professional		$1,096.48	$3,235.94	$6,165.95