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 $482.01 / $482.01 / $707.44	Professional		$482.01	$482.01	$707.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.73 / $791.35 / $949.62	Professional		$683.73	$791.35	$949.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $661.19 / $777.87 / $4,284.89	Professional		$661.19	$777.87	$4,284.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.84 / $662.51 / $791.35	Professional		$485.84	$662.51	$791.35
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 $563.45 / $758.13 / $1,009.86	Professional		$563.45	$758.13	$1,009.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $523.16 / $3,098.10 / $8,000.00	Professional		$523.16	$3,098.10	$8,000.00