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 $963.06 / $963.06 / $963.06	Professional		$963.06	$963.06	$963.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.83 / $1,192.83 / $1,233.16	Professional		$1,192.83	$1,192.83	$1,233.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,357.13 / $1,485.22 / $1,836.11	Professional		$1,357.13	$1,485.22	$1,836.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,049.69 / $1,145.10 / $1,335.96	Professional		$1,049.69	$1,145.10	$1,335.96
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 $973.35 / $1,195.19 / $1,565.33	Professional		$973.35	$1,195.19	$1,565.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,211.83 / $1,555.65	Professional		$29.27	$1,211.83	$1,555.65