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 $680.88 / $826.58 / $826.58	Professional		$680.88	$826.58	$826.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.08 / $1,093.35 / $1,121.03	Professional		$896.08	$1,093.35	$1,121.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,230.92 / $1,347.10 / $1,631.90	Professional		$1,230.92	$1,347.10	$1,631.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $962.16 / $1,049.63 / $1,224.57	Professional		$962.16	$1,049.63	$1,224.57
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 $892.18 / $1,109.07 / $1,423.70	Professional		$892.18	$1,109.07	$1,423.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,087.97 / $1,458.98	Professional		$29.27	$1,087.97	$1,458.98