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 $758.58 / $1,023.29 / $1,513.56	Professional		$758.58	$1,023.29	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,258.93	Professional		$1,096.48	$1,096.48	$1,258.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $7,943.28	Professional		$1,380.38	$1,778.28	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,318.26	Professional		$1,023.29	$1,122.02	$1,318.26
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 $954.99 / $1,230.27 / $1,513.56	Professional		$954.99	$1,230.27	$1,513.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $4,677.35 / $9,332.54	Professional		$1,258.93	$4,677.35	$9,332.54