Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.13 / $3,107.00 / $8,431.00	Facility		$2,583.13	$3,107.00	$8,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $271.20 / $394.57	Professional		$194.25	$271.20	$394.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,428.14 / $2,428.14 / $2,428.14	Facility		$2,428.14	$2,428.14	$2,428.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.85 / $375.00 / $845.38	Professional		$228.85	$375.00	$845.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $342.97 / $403.38 / $507.89	Professional		$342.97	$403.38	$507.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.17 / $404.09 / $554.64	Professional		$250.17	$404.09	$554.64
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 $313.04 / $484.20 / $641.76	Professional		$313.04	$484.20	$641.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $266.16 / $4,635.00 / $11,157.00	Professional		$266.16	$4,635.00	$11,157.00