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 $681.20 / $813.98 / $813.98	Professional		$681.20	$813.98	$813.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.95 / $1,073.33 / $1,102.08	Professional		$898.95	$1,073.33	$1,102.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,216.96 / $1,367.29 / $1,613.40	Professional		$1,216.96	$1,367.29	$1,613.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.54 / $1,030.40 / $1,202.14	Professional		$944.54	$1,030.40	$1,202.14
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 $875.84 / $1,096.26 / $1,404.95	Professional		$875.84	$1,096.26	$1,404.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $905.18 / $1,440.48	Professional		$29.27	$905.18	$1,440.48