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 $453.77 / $453.77 / $518.90	Professional		$453.77	$453.77	$518.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.18 / $590.49 / $708.59	Professional		$510.18	$590.49	$708.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $618.36 / $694.74 / $2,540.00	Professional		$618.36	$694.74	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.72 / $519.63 / $614.11	Professional		$458.72	$519.63	$614.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.82 / $567.14 / $745.01	Professional		$422.82	$567.14	$745.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $489.59 / $3,098.10 / $8,000.00	Professional		$489.59	$3,098.10	$8,000.00