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 $256.95 / $332.04 / $440.08	Professional		$256.95	$332.04	$440.08
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 $300.94 / $417.83 / $838.16	Professional		$300.94	$417.83	$838.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $424.61 / $505.14 / $600.08	Professional		$424.61	$505.14	$600.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.87 / $411.65 / $532.49	Professional		$301.87	$411.65	$532.49
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 $349.15 / $475.44 / $675.90	Professional		$349.15	$475.44	$675.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $333.19 / $1,958.52 / $5,287.00	Professional		$333.19	$1,958.52	$5,287.00