Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,511.38 / $8,511.38	Facility		$2,818.38	$8,511.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,380.38	Professional		$812.83	$954.99	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,174.90	Professional		$954.99	$1,122.02	$1,174.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $7,943.28	Professional		$1,288.25	$1,659.59	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,258.93	Professional		$912.01	$1,000.00	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,513.56	Professional		$954.99	$1,122.02	$1,513.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $5,623.41 / $11,220.18	Professional		$1,148.15	$5,623.41	$11,220.18