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 $508.44 / $601.15 / $601.15	Professional		$508.44	$601.15	$601.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.83 / $896.99 / $896.99	Professional		$651.83	$896.99	$896.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $969.18 / $1,115.13 / $4,334.00	Professional		$969.18	$1,115.13	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.35 / $861.11 / $1,004.63	Professional		$789.35	$861.11	$1,004.63
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 $731.94 / $896.99 / $1,095.71	Professional		$731.94	$896.99	$1,095.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $888.27 / $3,900.00 / $8,000.00	Professional		$888.27	$3,900.00	$8,000.00