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 $143.06 / $230.64 / $319.19	Professional		$143.06	$230.64	$319.19
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 $165.37 / $292.70 / $688.71	Professional		$165.37	$292.70	$688.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $258.80 / $307.88 / $431.37	Professional		$258.80	$307.88	$431.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.56 / $335.75 / $460.84	Professional		$189.56	$335.75	$460.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.92 / $395.79 / $515.20	Professional		$250.92	$395.79	$515.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $200.83 / $1,958.52 / $5,287.00	Professional		$200.83	$1,958.52	$5,287.00