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 $816.87 / $816.87 / $816.87	Professional		$816.87	$816.87	$816.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.03 / $1,005.03 / $1,039.04	Professional		$1,005.03	$1,005.03	$1,039.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,143.32 / $1,251.24 / $1,546.84	Professional		$1,143.32	$1,251.24	$1,546.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.42 / $964.82 / $1,125.63	Professional		$884.42	$964.82	$1,125.63
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 $820.10 / $1,005.03 / $1,310.78	Professional		$820.10	$1,005.03	$1,310.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,019.52 / $1,483.06	Professional		$29.27	$1,019.52	$1,483.06