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 $577.41 / $596.44 / $790.79	Professional		$577.41	$596.44	$790.79
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 $602.54 / $819.70 / $1,653.34	Professional		$602.54	$819.70	$1,653.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $875.36 / $983.50 / $1,184.32	Professional		$875.36	$983.50	$1,184.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.11 / $786.91 / $918.06	Professional		$695.11	$786.91	$918.06
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 $602.82 / $819.70 / $1,111.13	Professional		$602.82	$819.70	$1,111.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $625.41 / $2,040.00 / $5,304.00	Professional		$625.41	$2,040.00	$5,304.00