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 $195.37 / $525.16 / $2,219.00	Professional		$195.37	$525.16	$2,219.00
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 $238.51 / $520.74 / $956.69	Professional		$238.51	$520.74	$956.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $328.31 / $390.58 / $506.15	Professional		$328.31	$390.58	$506.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.73 / $523.15 / $670.00	Professional		$209.73	$523.15	$670.00
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 $393.82 / $637.13 / $804.26	Professional		$393.82	$637.13	$804.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $219.64 / $2,000.00 / $5,304.00	Professional		$219.64	$2,000.00	$5,304.00