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 $694.45 / $694.45 / $694.45	Professional		$694.45	$694.45	$694.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.98 / $894.44 / $1,073.33	Professional		$687.98	$894.44	$1,073.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $920.45 / $1,007.33 / $1,189.27	Professional		$920.45	$1,007.33	$1,189.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.11 / $858.66 / $1,001.77	Professional		$787.11	$858.66	$1,001.77
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 $701.60 / $894.44 / $1,121.91	Professional		$701.60	$894.44	$1,121.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $841.43 / $3,191.04 / $8,000.00	Professional		$841.43	$3,191.04	$8,000.00