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 $530.01 / $565.49 / $1,065.32	Professional		$530.01	$565.49	$1,065.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.73 / $728.73 / $874.14	Professional		$728.73	$728.73	$874.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $971.18 / $1,117.42 / $10,901.00	Professional		$971.18	$1,117.42	$10,901.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.24 / $839.17 / $979.03	Professional		$769.24	$839.17	$979.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.30 / $874.14 / $1,173.41	Professional		$713.30	$874.14	$1,173.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $900.15 / $3,900.00 / $8,000.00	Professional		$900.15	$3,900.00	$8,000.00