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 $155.61 / $209.19 / $276.11	Professional		$155.61	$209.19	$276.11
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 $187.67 / $276.44 / $528.08	Professional		$187.67	$276.44	$528.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $260.39 / $309.77 / $376.31	Professional		$260.39	$309.77	$376.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $255.68 / $340.61	Professional		$187.50	$255.68	$340.61
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 $212.10 / $304.11 / $386.66	Professional		$212.10	$304.11	$386.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $209.94 / $1,958.52 / $5,287.00	Professional		$209.94	$1,958.52	$5,287.00