Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $263.95 / $474.48	Professional		$239.83	$263.95	$474.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,537.42 / $1,537.42 / $1,537.42	Facility		$1,537.42	$1,537.42	$1,537.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.61 / $349.08 / $602.66	Professional		$277.61	$349.08	$602.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $95.25 / $424.09	Professional		$70.41	$95.25	$424.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.19 / $335.11 / $390.96	Professional		$307.19	$335.11	$390.96
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 $244.25 / $349.08 / $449.10	Professional		$244.25	$349.08	$449.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $3,900.00 / $8,000.00	Professional		$368.06	$3,900.00	$8,000.00