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 $748.49 / $890.40 / $890.40	Professional		$748.49	$890.40	$890.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.43 / $1,175.69 / $1,208.98	Professional		$988.43	$1,175.69	$1,208.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,326.69 / $1,490.57 / $1,758.87	Professional		$1,326.69	$1,490.57	$1,758.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,034.60 / $1,128.66 / $1,316.77	Professional		$1,034.60	$1,128.66	$1,316.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,175.69 / $1,250.21 / $1,543.26	Professional		$1,175.69	$1,250.21	$1,543.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,171.25 / $1,508.47	Professional		$29.27	$1,171.25	$1,508.47