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 $335.37 / $375.66 / $499.25	Professional		$335.37	$375.66	$499.25
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 $381.02 / $530.26 / $1,035.39	Professional		$381.02	$530.26	$1,035.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $560.76 / $630.03 / $724.53	Professional		$560.76	$630.03	$724.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.63 / $509.05 / $593.89	Professional		$466.63	$509.05	$593.89
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 $383.18 / $530.26 / $705.77	Professional		$383.18	$530.26	$705.77
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