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 $524.24 / $642.45 / $770.94	Professional		$524.24	$642.45	$770.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $595.79 / $704.52 / $825.79	Professional		$595.79	$704.52	$825.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.35 / $542.63 / $642.45	Professional		$426.35	$542.63	$642.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.24 / $648.16 / $1,347.26	Professional		$524.24	$648.16	$1,347.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $457.97 / $598.05	Professional		$86.21	$457.97	$598.05