Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,479.11	Facility		$1,096.48	$1,318.26	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,174.90	Professional		$562.34	$707.95	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,819.70	Professional		$707.95	$933.25	$1,819.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,584.89	Professional		$1,258.93	$1,513.56	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,659.59	Professional		$1,202.26	$1,412.54	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,258.93 / $1,513.56	Professional		$676.08	$1,258.93	$1,513.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,737.80	Professional		$1,258.93	$1,513.56	$1,737.80