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 $231.57 / $327.26 / $619.38	Professional		$231.57	$327.26	$619.38
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 $282.37 / $398.77 / $842.85	Professional		$282.37	$398.77	$842.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $402.49 / $473.39 / $607.00	Professional		$402.49	$473.39	$607.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.55 / $393.48 / $538.44	Professional		$288.55	$393.48	$538.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $478.61 / $607.46	Professional		$330.00	$478.61	$607.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $312.35 / $1,958.52 / $5,287.00	Professional		$312.35	$1,958.52	$5,287.00