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 $309.67 / $357.62 / $440.47	Professional		$309.67	$357.62	$440.47
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 $367.78 / $470.19 / $913.03	Professional		$367.78	$470.19	$913.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $495.25 / $556.42 / $670.05	Professional		$495.25	$556.42	$670.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.77 / $451.38 / $526.61	Professional		$413.77	$451.38	$526.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.88 / $470.19 / $623.95	Professional		$351.88	$470.19	$623.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.59 / $2,040.00 / $5,304.00	Professional		$449.59	$2,040.00	$5,304.00