Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.25 / $200.68 / $777.77	Professional		$168.25	$200.68	$777.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,088.40 / $1,088.40 / $1,088.40	Facility		$1,088.40	$1,088.40	$1,088.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.87 / $624.87 / $1,116.03	Professional		$206.87	$624.87	$1,116.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $284.63 / $338.61 / $438.82	Professional		$284.63	$338.61	$438.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.07 / $629.29 / $802.05	Professional		$188.07	$629.29	$802.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.88 / $708.95 / $1,005.69	Professional		$420.88	$708.95	$1,005.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.05 / $1,958.52 / $5,287.00	Professional		$208.05	$1,958.52	$5,287.00