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 $471.33 / $777.31 / $1,264.86	Professional		$471.33	$777.31	$1,264.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.42 / $968.08 / $1,161.69	Professional		$836.42	$968.08	$1,161.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $842.59 / $1,004.56 / $3,857.00	Professional		$842.59	$1,004.56	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $611.11 / $833.33 / $968.08	Professional		$611.11	$833.33	$968.08
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 $685.53 / $924.15 / $1,229.42	Professional		$685.53	$924.15	$1,229.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $646.10 / $3,098.10 / $8,000.00	Professional		$646.10	$3,098.10	$8,000.00