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 $853.37 / $853.37 / $853.37	Professional		$853.37	$853.37	$853.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.38 / $1,090.38 / $1,106.59	Professional		$1,090.38	$1,090.38	$1,106.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,354.69 / $1,482.55 / $1,832.81	Professional		$1,354.69	$1,482.55	$1,832.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $959.53 / $1,046.76 / $1,221.22	Professional		$959.53	$1,046.76	$1,221.22
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 $889.75 / $1,107.00 / $1,445.51	Professional		$889.75	$1,107.00	$1,445.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $1,076.77 / $1,197.84	Professional		$150.91	$1,076.77	$1,197.84