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 $623.45 / $773.61 / $938.34	Professional		$623.45	$773.61	$938.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,537.42 / $1,537.42 / $1,537.42	Facility		$1,537.42	$1,537.42	$1,537.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.24 / $979.45 / $1,952.49	Professional		$735.24	$979.45	$1,952.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,047.71 / $1,232.26 / $1,381.73	Professional		$1,047.71	$1,232.26	$1,381.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $744.99 / $972.70 / $1,149.55	Professional		$744.99	$972.70	$1,149.55
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 $786.90 / $1,105.33 / $1,859.14	Professional		$786.90	$1,105.33	$1,859.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $802.59 / $3,098.10 / $8,000.00	Professional		$802.59	$3,098.10	$8,000.00