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 $240.14 / $297.63 / $367.52	Professional		$240.14	$297.63	$367.52
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 $302.39 / $386.35 / $757.79	Professional		$302.39	$386.35	$757.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $404.44 / $475.69 / $534.86	Professional		$404.44	$475.69	$534.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.47 / $371.69 / $473.06	Professional		$287.47	$371.69	$473.06
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 $309.51 / $422.38 / $547.04	Professional		$309.51	$422.38	$547.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $310.68 / $1,958.52 / $5,287.00	Professional		$310.68	$1,958.52	$5,287.00