Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.37 / $1,109.53 / $1,331.43	Professional		$905.37	$1,109.53	$1,331.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,061.82 / $1,223.04 / $1,507.78	Professional		$1,061.82	$1,223.04	$1,507.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.02 / $962.21 / $1,109.53	Professional		$756.02	$962.21	$1,109.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.37 / $1,109.53 / $2,248.19	Professional		$905.37	$1,109.53	$2,248.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $785.75 / $1,034.70	Professional		$149.15	$785.75	$1,034.70