Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,431.00 / $10,303.00	Facility		$2,747.00	$8,431.00	$10,303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.41 / $952.00 / $4,540.00	Professional		$765.41	$952.00	$4,540.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.22 / $1,310.60 / $1,310.60	Professional		$985.22	$1,310.60	$1,310.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,414.16 / $1,627.12 / $8,902.00	Professional		$1,414.16	$1,627.12	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,153.33 / $1,258.19 / $1,467.89	Professional		$1,153.33	$1,258.19	$1,467.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,069.46 / $1,310.60 / $1,629.12	Professional		$1,069.46	$1,310.60	$1,629.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $966.38 / $9,435.00 / $12,953.00	Professional		$966.38	$9,435.00	$12,953.00