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 $711.12 / $724.53 / $724.53	Professional		$711.12	$724.53	$724.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.07 / $872.28 / $872.28	Professional		$698.07	$872.28	$872.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,022.36 / $1,148.66 / $1,355.42	Professional		$1,022.36	$1,148.66	$1,355.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $767.60 / $837.38 / $976.95	Professional		$767.60	$837.38	$976.95
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 $711.78 / $872.28 / $1,128.03	Professional		$711.78	$872.28	$1,128.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $835.86 / $3,900.00 / $8,000.00	Professional		$835.86	$3,900.00	$8,000.00