Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $3,883.00 / $3,883.00	Facility		$1,157.88	$3,883.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.25 / $266.88 / $2,294.07	Professional		$195.25	$266.88	$2,294.07
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 $247.11 / $446.94 / $1,257.96	Professional		$247.11	$446.94	$1,257.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $422.48 / $496.90 / $651.34	Professional		$422.48	$496.90	$651.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.78 / $662.41 / $844.25	Professional		$214.78	$662.41	$844.25
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 $579.38 / $811.78 / $1,120.32	Professional		$579.38	$811.78	$1,120.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $265.83 / $1,958.52 / $5,287.00	Professional		$265.83	$1,958.52	$5,287.00