Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.61 / $416.42 / $608.23	Professional		$376.61	$416.42	$608.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,244.58 / $1,244.58 / $1,244.58	Facility		$1,244.58	$1,244.58	$1,244.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.01 / $533.34 / $1,009.69	Professional		$397.01	$533.34	$1,009.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $560.80 / $630.09 / $758.75	Professional		$560.80	$630.09	$758.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.14 / $515.05 / $600.91	Professional		$472.14	$515.05	$600.91
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 $382.85 / $536.53 / $692.84	Professional		$382.85	$536.53	$692.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $493.75 / $2,575.00 / $6,124.00	Professional		$493.75	$2,575.00	$6,124.00