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 $664.12 / $763.43 / $1,399.30	Professional		$664.12	$763.43	$1,399.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.62 / $983.71 / $1,180.46	Professional		$777.62	$983.71	$1,180.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,057.08 / $1,156.86 / $1,365.82	Professional		$1,057.08	$1,156.86	$1,365.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.67 / $944.36 / $1,101.76	Professional		$865.67	$944.36	$1,101.76
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 $765.05 / $983.71 / $1,198.28	Professional		$765.05	$983.71	$1,198.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $867.50 / $3,191.04 / $8,000.00	Professional		$867.50	$3,191.04	$8,000.00