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 $718.47 / $845.42 / $845.42	Professional		$718.47	$845.42	$845.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $947.83 / $1,132.58 / $1,146.98	Professional		$947.83	$1,132.58	$1,146.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,260.98 / $1,416.74 / $1,671.75	Professional		$1,260.98	$1,416.74	$1,671.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $996.68 / $1,087.28 / $1,268.50	Professional		$996.68	$1,087.28	$1,268.50
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 $924.19 / $1,132.58 / $1,476.54	Professional		$924.19	$1,132.58	$1,476.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $924.27 / $1,475.60	Professional		$29.27	$924.27	$1,475.60