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 $675.61 / $675.61 / $675.61	Professional		$675.61	$675.61	$675.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.52 / $868.19 / $1,041.83	Professional		$669.52	$868.19	$1,041.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $900.82 / $1,012.10 / $5,851.00	Professional		$900.82	$1,012.10	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.01 / $833.46 / $972.37	Professional		$764.01	$833.46	$972.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.38 / $868.19 / $1,067.49	Professional		$702.38	$868.19	$1,067.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $783.00 / $3,191.04 / $8,000.00	Professional		$783.00	$3,191.04	$8,000.00