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 $656.47 / $700.75 / $700.75	Professional		$656.47	$700.75	$700.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.90 / $795.18 / $795.18	Professional		$630.90	$795.18	$795.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $894.75 / $1,029.49 / $6,874.20	Professional		$894.75	$1,029.49	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.75 / $763.37 / $890.60	Professional		$699.75	$763.37	$890.60
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 $648.86 / $795.18 / $1,020.99	Professional		$648.86	$795.18	$1,020.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $759.98 / $3,900.00 / $8,000.00	Professional		$759.98	$3,900.00	$8,000.00