Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $5,484.00 / $5,484.00	Facility		$1,635.55	$5,484.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.50 / $816.97 / $2,610.00	Professional		$491.50	$816.97	$2,610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.16 / $872.43 / $872.43	Professional		$630.16	$872.43	$872.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $938.98 / $1,080.38 / $6,874.20	Professional		$938.98	$1,080.38	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $767.73 / $837.53 / $977.12	Professional		$767.73	$837.53	$977.12
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 $711.90 / $872.43 / $1,063.64	Professional		$711.90	$872.43	$1,063.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $808.36 / $3,900.00 / $8,000.00	Professional		$808.36	$3,900.00	$8,000.00