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 $939.71 / $939.71 / $939.71	Professional		$939.71	$939.71	$939.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $941.02 / $1,214.58 / $1,457.49	Professional		$941.02	$1,214.58	$1,457.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,271.76 / $1,346.57 / $1,548.56	Professional		$1,271.76	$1,346.57	$1,548.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,068.83 / $1,165.99 / $1,360.32	Professional		$1,068.83	$1,165.99	$1,360.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $973.82 / $1,214.58 / $1,548.72	Professional		$973.82	$1,214.58	$1,548.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $950.29 / $1,308.72	Professional		$29.27	$950.29	$1,308.72