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 $432.30 / $465.42 / $536.83	Professional		$432.30	$465.42	$536.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.69 / $568.80 / $568.80	Professional		$449.69	$568.80	$568.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $657.13 / $756.08 / $6,874.20	Professional		$657.13	$756.08	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.56 / $546.05 / $637.07	Professional		$500.56	$546.05	$637.07
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 $464.15 / $568.80 / $728.81	Professional		$464.15	$568.80	$728.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $499.18 / $3,098.10 / $8,000.00	Professional		$499.18	$3,098.10	$8,000.00