Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $398.11	Professional		$169.82	$263.03	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $870.96	Professional		$190.55	$331.13	$870.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $389.05	Professional		$295.12	$346.74	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $645.65	Professional		$263.03	$467.74	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $446.68	Professional		$181.97	$288.40	$446.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $245.47 / $446.68	Professional		$56.23	$245.47	$446.68