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 $397.77 / $487.55 / $587.08	Professional		$397.77	$487.55	$587.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.30 / $730.65 / $798.81	Professional		$584.30	$730.65	$798.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $742.55 / $878.07 / $994.15	Professional		$742.55	$878.07	$994.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.48 / $702.96 / $894.67	Professional		$523.48	$702.96	$894.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.83 / $798.81 / $1,034.25	Professional		$651.83	$798.81	$1,034.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $577.46 / $3,100.00 / $8,000.00	Professional		$577.46	$3,100.00	$8,000.00