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 $613.62 / $635.94 / $635.94	Professional		$613.62	$635.94	$635.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.51 / $744.79 / $744.79	Professional		$589.51	$744.79	$744.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $856.04 / $961.78 / $1,134.90	Professional		$856.04	$961.78	$1,134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.41 / $715.00 / $834.16	Professional		$655.41	$715.00	$834.16
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 $607.75 / $744.79 / $955.40	Professional		$607.75	$744.79	$955.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $711.41 / $3,900.00 / $8,000.00	Professional		$711.41	$3,900.00	$8,000.00