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 $97.81 / $134.90 / $184.95	Professional		$97.81	$134.90	$184.95
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 $112.07 / $180.69 / $385.00	Professional		$112.07	$180.69	$385.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $207.21 / $261.57	Professional		$175.23	$207.21	$261.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.18 / $171.80 / $235.80	Professional		$125.18	$171.80	$235.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.84 / $210.54 / $268.02	Professional		$145.84	$210.54	$268.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $148.36 / $233.06	Professional		$29.27	$148.36	$233.06