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 $996.86 / $996.86 / $1,496.74	Professional		$996.86	$996.86	$1,496.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.65 / $1,232.65 / $1,265.15	Professional		$1,232.65	$1,232.65	$1,265.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,376.31 / $1,588.08 / $1,798.89	Professional		$1,376.31	$1,588.08	$1,798.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.73 / $1,183.33 / $1,380.57	Professional		$1,084.73	$1,183.33	$1,380.57
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 $1,005.84 / $1,306.10 / $1,690.10	Professional		$1,005.84	$1,306.10	$1,690.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $918.90 / $1,372.95	Professional		$172.97	$918.90	$1,372.95