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 $586.47 / $586.47 / $586.47	Professional		$586.47	$586.47	$586.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.79 / $901.75 / $1,082.09	Professional		$686.79	$901.75	$1,082.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $940.63 / $1,029.41 / $1,215.33	Professional		$940.63	$1,029.41	$1,215.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.54 / $865.68 / $1,009.96	Professional		$793.54	$865.68	$1,009.96
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 $687.20 / $901.75 / $1,055.81	Professional		$687.20	$901.75	$1,055.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $792.96 / $3,191.04 / $8,000.00	Professional		$792.96	$3,191.04	$8,000.00