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 $254.03 / $300.45 / $353.27	Professional		$254.03	$300.45	$353.27
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 $308.00 / $381.68 / $600.99	Professional		$308.00	$381.68	$600.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $433.13 / $486.63 / $585.99	Professional		$433.13	$486.63	$585.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.63 / $315.95 / $368.62	Professional		$289.63	$315.95	$368.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.57 / $330.36 / $447.08	Professional		$268.57	$330.36	$447.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $352.78 / $2,040.00 / $5,304.00	Professional		$352.78	$2,040.00	$5,304.00