Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,495.41 / $5,495.41	Facility		$1,949.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,348.96	Professional		$812.83	$977.24	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,122.02	Professional		$977.24	$977.24	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,548.82	Professional		$1,174.90	$1,288.25	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $1,122.02	Professional		$891.25	$954.99	$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 $912.01 / $1,096.48 / $1,445.44	Professional		$912.01	$1,096.48	$1,445.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $4,073.80 / $7,943.28	Professional		$1,071.52	$4,073.80	$7,943.28