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 $780.32 / $780.32 / $828.28	Professional		$780.32	$780.32	$828.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.06 / $992.73 / $992.73	Professional		$807.06	$992.73	$992.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,037.42 / $1,165.57 / $1,375.37	Professional		$1,037.42	$1,165.57	$1,375.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $873.60 / $953.02 / $1,111.84	Professional		$873.60	$953.02	$1,111.84
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 $810.06 / $992.73 / $1,282.23	Professional		$810.06	$992.73	$1,282.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $950.81 / $3,900.00 / $8,000.00	Professional		$950.81	$3,900.00	$8,000.00