Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $782.18 / $5,569.80	Professional		$113.16	$782.18	$5,569.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.62 / $1,133.27 / $1,357.79	Professional		$761.62	$1,133.27	$1,357.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.37 / $1,002.30 / $1,169.34	Professional		$885.37	$1,002.30	$1,169.34
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 $324.23 / $464.36 / $1,296.44	Professional		$324.23	$464.36	$1,296.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $7,934.00 / $7,934.00 / $9,125.00	Professional		$7,934.00	$7,934.00	$9,125.00