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 $88.67 / $164.22 / $192.03	Professional		$88.67	$164.22	$192.03
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 $169.57 / $195.28 / $385.00	Professional		$169.57	$195.28	$385.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $232.77 / $261.52 / $314.93	Professional		$232.77	$261.52	$314.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.56 / $186.06 / $217.07	Professional		$170.56	$186.06	$217.07
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 $156.96 / $193.81 / $283.49	Professional		$156.96	$193.81	$283.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $188.97 / $2,040.00 / $5,304.00	Professional		$188.97	$2,040.00	$5,304.00