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 $485.71 / $595.24 / $714.29	Professional		$485.71	$595.24	$714.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $569.28 / $655.72 / $779.96	Professional		$569.28	$655.72	$779.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.75 / $521.50 / $595.24	Professional		$409.75	$521.50	$595.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.71 / $595.24 / $1,172.94	Professional		$485.71	$595.24	$1,172.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $421.27 / $549.91	Professional		$79.27	$421.27	$549.91