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 $467.25 / $467.25 / $467.25	Professional		$467.25	$467.25	$467.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.19 / $733.74 / $880.49	Professional		$562.19	$733.74	$880.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $752.90 / $823.97 / $972.80	Professional		$752.90	$823.97	$972.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.69 / $704.39 / $821.79	Professional		$645.69	$704.39	$821.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.50 / $733.74 / $900.09	Professional		$529.50	$733.74	$900.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $666.14 / $3,191.04 / $8,000.00	Professional		$666.14	$3,191.04	$8,000.00