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 $563.24 / $612.45 / $750.68	Professional		$563.24	$612.45	$750.68
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 $640.05 / $772.95 / $1,407.49	Professional		$640.05	$772.95	$1,407.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $817.96 / $919.01 / $1,056.85	Professional		$817.96	$919.01	$1,056.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $670.00 / $742.03 / $865.70	Professional		$670.00	$742.03	$865.70
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 $580.91 / $772.95 / $1,101.83	Professional		$580.91	$772.95	$1,101.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $749.68 / $3,900.00 / $8,000.00	Professional		$749.68	$3,900.00	$8,000.00