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 $326.25 / $411.99 / $1,164.24	Professional		$326.25	$411.99	$1,164.24
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 $408.09 / $520.80 / $1,020.05	Professional		$408.09	$520.80	$1,020.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $549.49 / $617.37 / $743.43	Professional		$549.49	$617.37	$743.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.32 / $499.98 / $583.30	Professional		$458.32	$499.98	$583.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.68 / $520.80 / $694.24	Professional		$371.68	$520.80	$694.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $513.96 / $3,900.00 / $8,000.00	Professional		$513.96	$3,900.00	$8,000.00