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 $423.41 / $431.31 / $431.31	Professional		$423.41	$431.31	$431.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.54 / $522.99 / $522.99	Professional		$414.54	$522.99	$522.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $603.61 / $678.17 / $800.24	Professional		$603.61	$678.17	$800.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.23 / $502.07 / $585.75	Professional		$460.23	$502.07	$585.75
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 $426.76 / $522.99 / $669.66	Professional		$426.76	$522.99	$669.66
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