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 $494.38 / $554.54 / $881.49	Professional		$494.38	$554.54	$881.49
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 $530.72 / $736.84 / $1,317.71	Professional		$530.72	$736.84	$1,317.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $782.52 / $879.18 / $1,058.70	Professional		$782.52	$879.18	$1,058.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $648.41 / $707.36 / $825.26	Professional		$648.41	$707.36	$825.26
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 $483.17 / $736.84 / $973.81	Professional		$483.17	$736.84	$973.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $646.95 / $3,191.04 / $8,000.00	Professional		$646.95	$3,191.04	$8,000.00