Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,966.00 / $8,499.00	Facility		$2,747.00	$6,966.00	$8,499.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.50 / $1,043.92 / $1,043.92	Professional		$998.50	$1,043.92	$1,043.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.01 / $1,188.58 / $1,189.69	Professional		$962.01	$1,188.58	$1,189.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,366.81 / $1,572.63 / $8,902.00	Professional		$1,366.81	$1,572.63	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,045.96 / $1,141.04 / $1,331.22	Professional		$1,045.96	$1,141.04	$1,331.22
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 $969.89 / $1,188.58 / $1,548.63	Professional		$969.89	$1,188.58	$1,548.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $1,016.52 / $1,625.70	Professional		$160.63	$1,016.52	$1,625.70