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 $155.56 / $857.71 / $2,774.00	Professional		$155.56	$857.71	$2,774.00
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 $187.86 / $709.46 / $1,997.07	Professional		$187.86	$709.46	$1,997.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $266.91 / $310.97 / $402.99	Professional		$266.91	$310.97	$402.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $1,119.44 / $1,455.27	Professional		$164.75	$1,119.44	$1,455.27
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 $388.62 / $1,386.49 / $1,894.58	Professional		$388.62	$1,386.49	$1,894.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $174.54 / $2,000.00 / $5,304.00	Professional		$174.54	$2,000.00	$5,304.00