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 $168.55 / $205.84 / $5,750.00	Professional		$168.55	$205.84	$5,750.00
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 $206.92 / $473.67 / $852.18	Professional		$206.92	$473.67	$852.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $285.98 / $340.21 / $440.91	Professional		$285.98	$340.21	$440.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.92 / $477.27 / $655.07	Professional		$181.92	$477.27	$655.07
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 $358.15 / $559.65 / $730.74	Professional		$358.15	$559.65	$730.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $191.67 / $2,000.00 / $5,304.00	Professional		$191.67	$2,000.00	$5,304.00