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 $484.31 / $484.31 / $711.31	Professional		$484.31	$484.31	$711.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.36 / $1,026.31 / $1,231.58	Professional		$805.36	$1,026.31	$1,231.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $813.11 / $947.31 / $1,170.29	Professional		$813.11	$947.31	$1,170.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.00 / $870.31 / $1,026.31	Professional		$590.00	$870.31	$1,026.31
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 $704.22 / $1,026.31 / $1,041.85	Professional		$704.22	$1,026.31	$1,041.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $634.87 / $3,098.10 / $8,000.00	Professional		$634.87	$3,098.10	$8,000.00