Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,747.00 / $6,084.00	Facility		$2,528.00	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $950.30 / $3,232.57	Professional		$787.82	$950.30	$3,232.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.69 / $1,168.33 / $1,402.01	Professional		$904.69	$1,168.33	$1,402.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,221.32 / $1,372.19 / $8,011.80	Professional		$1,221.32	$1,372.19	$8,011.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,028.14 / $1,121.59 / $1,308.54	Professional		$1,028.14	$1,121.59	$1,308.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.09 / $1,168.33 / $1,479.66	Professional		$930.09	$1,168.33	$1,479.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $1,119.34 / $9,057.00	Professional		$157.10	$1,119.34	$9,057.00