Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.48 / $340.11 / $1,336.00	Professional		$264.48	$340.11	$1,336.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,244.58 / $1,244.58 / $1,244.58	Facility		$1,244.58	$1,244.58	$1,244.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.75 / $373.09 / $659.85	Professional		$303.75	$373.09	$659.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $435.22 / $524.09	Professional		$387.37	$435.22	$524.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.32 / $358.16 / $417.86	Professional		$328.32	$358.16	$417.86
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 $270.35 / $373.09 / $499.09	Professional		$270.35	$373.09	$499.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $355.03 / $2,582.96 / $6,124.00	Professional		$355.03	$2,582.96	$6,124.00