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 $159.81 / $200.76 / $707.89	Professional		$159.81	$200.76	$707.89
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 $203.38 / $427.35 / $811.90	Professional		$203.38	$427.35	$811.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $282.10 / $335.60 / $434.93	Professional		$282.10	$335.60	$434.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $439.31 / $602.98	Professional		$178.19	$439.31	$602.98
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 $321.02 / $499.39 / $655.16	Professional		$321.02	$499.39	$655.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $2,000.00 / $5,304.00	Professional		$188.75	$2,000.00	$5,304.00