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 $162.93 / $190.42 / $334.12	Professional		$162.93	$190.42	$334.12
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 $205.77 / $259.16 / $442.95	Professional		$205.77	$259.16	$442.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $266.86 / $299.82 / $361.04	Professional		$266.86	$299.82	$361.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.03 / $249.85 / $291.49	Professional		$229.03	$249.85	$291.49
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 $178.97 / $260.26 / $332.84	Professional		$178.97	$260.26	$332.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $272.47 / $3,900.00 / $8,000.00	Professional		$272.47	$3,900.00	$8,000.00