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 $568.96 / $580.66 / $615.46	Professional		$568.96	$580.66	$615.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.34 / $693.64 / $693.64	Professional		$561.34	$693.64	$693.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,454.52 / $1,671.86 / $8,507.00	Professional		$1,454.52	$1,671.86	$8,507.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.75 / $899.72 / $1,049.68	Professional		$824.75	$899.72	$1,049.68
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 $721.99 / $1,181.33 / $1,197.64	Professional		$721.99	$1,181.33	$1,197.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,742.00 / $4,938.81 / $8,007.00	Professional		$1,742.00	$4,938.81	$8,007.00