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 $321.01 / $415.03 / $542.83	Professional		$321.01	$415.03	$542.83
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 $375.00 / $531.72 / $1,072.33	Professional		$375.00	$531.72	$1,072.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $526.10 / $618.77 / $717.75	Professional		$526.10	$618.77	$717.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.49 / $503.85 / $657.05	Professional		$369.49	$503.85	$657.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.02 / $586.65 / $786.72	Professional		$431.02	$586.65	$786.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $419.65 / $1,958.52 / $5,287.00	Professional		$419.65	$1,958.52	$5,287.00