Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $3,890.45	Facility		$575.44	$2,818.38	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $741.31	Professional		$218.78	$446.68	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $512.86 / $1,096.48	Professional		$275.42	$512.86	$1,096.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $891.25	Professional		$436.52	$537.03	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $588.84 / $758.58	Professional		$223.87	$588.84	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $707.95	Professional		$239.88	$457.09	$707.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $2,041.74 / $5,370.32	Professional		$309.03	$2,041.74	$5,370.32