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 $633.22 / $633.22 / $633.22	Professional		$633.22	$633.22	$633.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.52 / $808.45 / $970.14	Professional		$623.52	$808.45	$970.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $838.76 / $917.94 / $1,083.74	Professional		$838.76	$917.94	$1,083.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.44 / $776.11 / $905.46	Professional		$711.44	$776.11	$905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $633.67 / $808.45 / $1,011.21	Professional		$633.67	$808.45	$1,011.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $738.95 / $3,191.04 / $8,000.00	Professional		$738.95	$3,191.04	$8,000.00