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 $207.04 / $400.84 / $648.88	Professional		$207.04	$400.84	$648.88
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 $247.19 / $474.23 / $895.56	Professional		$247.19	$474.23	$895.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $369.96 / $446.72 / $751.77	Professional		$369.96	$446.72	$751.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.95 / $468.85 / $643.52	Professional		$214.95	$468.85	$643.52
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 $418.01 / $574.58 / $728.29	Professional		$418.01	$574.58	$728.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $273.82 / $1,958.52 / $5,287.00	Professional		$273.82	$1,958.52	$5,287.00