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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.36 / $978.36 / $978.36	Professional		$978.36	$978.36	$978.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $974.78 / $1,258.39 / $1,510.07	Professional		$974.78	$1,258.39	$1,510.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,317.73 / $1,442.11 / $1,702.59	Professional		$1,317.73	$1,442.11	$1,702.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,107.38 / $1,208.05 / $1,409.39	Professional		$1,107.38	$1,208.05	$1,409.39
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 $1,013.74 / $1,258.39 / $1,610.18	Professional		$1,013.74	$1,258.39	$1,610.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $900.49 / $1,451.68	Professional		$29.27	$900.49	$1,451.68