Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.58 / $814.58 / $814.58	Professional		$814.58	$814.58	$814.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.65 / $952.16 / $1,142.59	Professional		$741.65	$952.16	$1,142.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,026.10 / $1,122.97 / $1,325.80	Professional		$1,026.10	$1,122.97	$1,325.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $837.90 / $914.08 / $1,066.42	Professional		$837.90	$914.08	$1,066.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.96 / $952.16 / $1,192.64	Professional		$776.96	$952.16	$1,192.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $913.20 / $3,191.04 / $8,000.00	Professional		$913.20	$3,191.04	$8,000.00