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 $518.60 / $518.60 / $518.60	Professional		$518.60	$518.60	$518.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.49 / $1,159.49 / $1,159.49	Professional		$1,159.49	$1,159.49	$1,159.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,022.66 / $1,148.99 / $7,637.00	Professional		$1,022.66	$1,148.99	$7,637.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $850.29 / $927.59 / $1,082.19	Professional		$850.29	$927.59	$1,082.19
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 $632.51 / $911.31 / $1,118.69	Professional		$632.51	$911.31	$1,118.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,924.00 / $7,138.00 / $9,416.00	Professional		$1,924.00	$7,138.00	$9,416.00