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 $220.79 / $244.85 / $406.05	Professional		$220.79	$244.85	$406.05
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 $254.40 / $318.54 / $551.67	Professional		$254.40	$318.54	$551.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $327.71 / $368.19 / $443.37	Professional		$327.71	$368.19	$443.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.31 / $305.80 / $356.76	Professional		$280.31	$305.80	$356.76
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 $223.56 / $318.54 / $410.29	Professional		$223.56	$318.54	$410.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $334.59 / $3,900.00 / $8,000.00	Professional		$334.59	$3,900.00	$8,000.00