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 $449.29 / $523.39 / $670.69	Professional		$449.29	$523.39	$670.69
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 $511.62 / $714.03 / $1,396.27	Professional		$511.62	$714.03	$1,396.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $759.28 / $853.07 / $1,027.26	Professional		$759.28	$853.07	$1,027.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.34 / $685.46 / $799.71	Professional		$628.34	$685.46	$799.71
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 $531.46 / $714.03 / $945.80	Professional		$531.46	$714.03	$945.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $518.86 / $2,040.00 / $5,304.00	Professional		$518.86	$2,040.00	$5,304.00