Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.99 / $325.79 / $995.00	Professional		$228.99	$325.79	$995.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,088.40 / $1,088.40 / $1,088.40	Facility		$1,088.40	$1,088.40	$1,088.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.05 / $382.64 / $775.29	Professional		$268.05	$382.64	$775.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $389.98 / $463.94 / $559.80	Professional		$389.98	$463.94	$559.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $380.99 / $500.23	Professional		$279.39	$380.99	$500.23
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 $296.67 / $446.64 / $761.75	Professional		$296.67	$446.64	$761.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $302.64 / $1,958.52 / $5,287.00	Professional		$302.64	$1,958.52	$5,287.00