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 $549.54 / $776.25 / $1,258.93	Professional		$549.54	$776.25	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $977.24	Professional		$831.76	$831.76	$977.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $4,677.35	Professional		$933.25	$1,122.02	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,047.13	Professional		$549.54	$891.25	$1,047.13
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 $575.44 / $831.76 / $1,258.93	Professional		$575.44	$831.76	$1,258.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,041.74 / $5,370.32	Professional		$660.69	$2,041.74	$5,370.32