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 $275.51 / $369.60 / $503.54	Professional		$275.51	$369.60	$503.54
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 $325.94 / $497.68 / $1,006.85	Professional		$325.94	$497.68	$1,006.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $467.57 / $552.90 / $717.77	Professional		$467.57	$552.90	$717.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.51 / $468.69 / $643.29	Professional		$332.51	$468.69	$643.29
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 $395.56 / $574.38 / $893.13	Professional		$395.56	$574.38	$893.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $390.51 / $1,958.52 / $5,287.00	Professional		$390.51	$1,958.52	$5,287.00