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 $143.85 / $230.66 / $340.63	Professional		$143.85	$230.66	$340.63
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 $165.82 / $294.06 / $671.39	Professional		$165.82	$294.06	$671.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $265.99 / $314.52 / $437.01	Professional		$265.99	$314.52	$437.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.94 / $342.96 / $470.74	Professional		$187.94	$342.96	$470.74
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 $266.89 / $407.27 / $520.69	Professional		$266.89	$407.27	$520.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $230.38 / $1,958.52 / $5,287.00	Professional		$230.38	$1,958.52	$5,287.00