Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,025.60	Facility		$2,570.40	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,318.26	Professional		$794.33	$954.99	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,096.48	Professional		$933.25	$933.25	$1,096.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,230.27 / $1,513.56	Professional		$1,148.15	$1,230.27	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $1,071.52	Professional		$831.76	$912.01	$1,071.52
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 / $1,047.13 / $1,380.38	Professional		$912.01	$1,047.13	$1,380.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $4,677.35 / $9,332.54	Professional		$1,047.13	$4,677.35	$9,332.54