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 $169.61 / $214.06 / $651.58	Professional		$169.61	$214.06	$651.58
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 $216.71 / $406.04 / $811.81	Professional		$216.71	$406.04	$811.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $301.83 / $354.99 / $465.32	Professional		$301.83	$354.99	$465.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.96 / $406.47 / $557.90	Professional		$188.96	$406.47	$557.90
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 $327.67 / $478.39 / $621.08	Professional		$327.67	$478.39	$621.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $201.81 / $2,000.00 / $5,304.00	Professional		$201.81	$2,000.00	$5,304.00