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 $721.83 / $744.72 / $744.72	Professional		$721.83	$744.72	$744.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.29 / $860.46 / $1,032.56	Professional		$663.29	$860.46	$1,032.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $974.06 / $1,094.38 / $5,851.00	Professional		$974.06	$1,094.38	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $757.21 / $826.04 / $963.72	Professional		$757.21	$826.04	$963.72
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 $673.49 / $860.46 / $1,078.07	Professional		$673.49	$860.46	$1,078.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $907.95 / $3,900.00 / $8,000.00	Professional		$907.95	$3,900.00	$8,000.00