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 $666.74 / $666.74 / $666.74	Professional		$666.74	$666.74	$666.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,407.18 / $1,407.18 / $1,407.18	Professional		$1,407.18	$1,407.18	$1,407.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,241.15 / $1,394.47 / $7,637.00	Professional		$1,241.15	$1,394.47	$7,637.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,031.93 / $1,125.74 / $1,313.37	Professional		$1,031.93	$1,125.74	$1,313.37
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 $763.14 / $1,114.50 / $1,357.68	Professional		$763.14	$1,114.50	$1,357.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,320.00 / $7,302.00 / $9,416.00	Professional		$3,320.00	$7,302.00	$9,416.00