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 $485.46 / $508.98 / $508.98	Professional		$485.46	$508.98	$508.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.49 / $593.13 / $593.13	Professional		$465.49	$593.13	$593.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $664.45 / $764.50 / $6,874.20	Professional		$664.45	$764.50	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $521.95 / $569.40 / $664.30	Professional		$521.95	$569.40	$664.30
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 $483.99 / $593.13 / $755.40	Professional		$483.99	$593.13	$755.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $564.76 / $3,900.00 / $8,000.00	Professional		$564.76	$3,900.00	$8,000.00