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 $468.90 / $468.90 / $615.16	Professional		$468.90	$468.90	$615.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.05 / $732.93 / $879.51	Professional		$568.05	$732.93	$879.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $648.17 / $766.48 / $895.08	Professional		$648.17	$766.48	$895.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $624.17 / $732.93	Professional		$457.73	$624.17	$732.93
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 $567.74 / $732.93 / $958.14	Professional		$567.74	$732.93	$958.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $515.19 / $3,098.10 / $8,000.00	Professional		$515.19	$3,098.10	$8,000.00