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 $852.54 / $852.54 / $852.54	Professional		$852.54	$852.54	$852.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.01 / $1,173.28 / $1,407.93	Professional		$909.01	$1,173.28	$1,407.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,228.42 / $1,344.38 / $1,587.20	Professional		$1,228.42	$1,344.38	$1,587.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,032.48 / $1,126.33 / $1,314.07	Professional		$1,032.48	$1,126.33	$1,314.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $937.61 / $1,173.28 / $1,495.10	Professional		$937.61	$1,173.28	$1,495.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $909.57 / $1,292.57	Professional		$29.27	$909.57	$1,292.57