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 $315.89 / $409.63 / $555.95	Professional		$315.89	$409.63	$555.95
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 $375.00 / $566.94 / $1,198.83	Professional		$375.00	$566.94	$1,198.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $542.72 / $638.33 / $753.77	Professional		$542.72	$638.33	$753.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.82 / $566.94 / $722.57	Professional		$389.82	$566.94	$722.57
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 $460.27 / $683.68 / $885.37	Professional		$460.27	$683.68	$885.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $421.18 / $1,958.52 / $5,287.00	Professional		$421.18	$1,958.52	$5,287.00