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 $172.75 / $192.11 / $261.79	Professional		$172.75	$192.11	$261.79
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 $201.56 / $253.43 / $433.64	Professional		$201.56	$253.43	$433.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $261.12 / $293.38 / $353.28	Professional		$261.12	$293.38	$353.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.36 / $244.75 / $285.54	Professional		$224.36	$244.75	$285.54
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 $172.96 / $254.95 / $325.69	Professional		$172.96	$254.95	$325.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.32 / $2,582.96 / $6,124.00	Professional		$239.32	$2,582.96	$6,124.00