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 $258.43 / $285.77 / $337.44	Professional		$258.43	$285.77	$337.44
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 $296.76 / $348.82 / $629.16	Professional		$296.76	$348.82	$629.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $451.66 / $543.88	Professional		$402.00	$451.66	$543.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.14 / $330.71 / $385.83	Professional		$303.14	$330.71	$385.83
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 $266.33 / $346.24 / $507.27	Professional		$266.33	$346.24	$507.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $337.36 / $2,040.00 / $5,304.00	Professional		$337.36	$2,040.00	$5,304.00