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 $189.84 / $230.37 / $917.00	Professional		$189.84	$230.37	$917.00
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 $220.54 / $278.14 / $913.60	Professional		$220.54	$278.14	$913.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $285.95 / $321.27 / $386.87	Professional		$285.95	$321.27	$386.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.76 / $267.01 / $311.51	Professional		$244.76	$267.01	$311.51
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 $193.26 / $278.14 / $356.47	Professional		$193.26	$278.14	$356.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $291.95 / $3,900.00 / $8,000.00	Professional		$291.95	$3,900.00	$8,000.00