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 $212.54 / $272.27 / $363.49	Professional		$212.54	$272.27	$363.49
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 $257.23 / $360.93 / $692.91	Professional		$257.23	$360.93	$692.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $363.18 / $423.13 / $490.33	Professional		$363.18	$423.13	$490.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.73 / $345.99 / $442.08	Professional		$253.73	$345.99	$442.08
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 $279.66 / $394.71 / $505.86	Professional		$279.66	$394.71	$505.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $276.02 / $1,958.52 / $5,287.00	Professional		$276.02	$1,958.52	$5,287.00