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 $867.78 / $983.93 / $1,213.56	Professional		$867.78	$983.93	$1,213.56
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 $1,014.41 / $1,247.55 / $2,538.58	Professional		$1,014.41	$1,247.55	$2,538.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,332.49 / $1,497.09 / $1,802.77	Professional		$1,332.49	$1,497.09	$1,802.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,057.92 / $1,197.65 / $1,397.26	Professional		$1,057.92	$1,197.65	$1,397.26
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 $969.22 / $1,247.55 / $1,789.26	Professional		$969.22	$1,247.55	$1,789.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $910.57 / $2,040.00 / $5,304.00	Professional		$910.57	$2,040.00	$5,304.00