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 $880.37 / $942.84 / $1,150.80	Professional		$880.37	$942.84	$1,150.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,139.73 / $1,139.73 / $1,213.78	Professional		$1,139.73	$1,139.73	$1,213.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,321.92 / $1,446.70 / $1,788.48	Professional		$1,321.92	$1,446.70	$1,788.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,002.96 / $1,094.14 / $1,276.49	Professional		$1,002.96	$1,094.14	$1,276.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $3,960.00 / $3,960.00	Facility		$3,960.00	$3,960.00	$3,960.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.02 / $1,152.27 / $1,505.88	Professional		$930.02	$1,152.27	$1,505.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,160.64 / $1,723.22	Professional		$29.27	$1,160.64	$1,723.22