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 $893.32 / $944.84 / $944.84	Professional		$893.32	$944.84	$944.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.98 / $1,164.98 / $1,199.65	Professional		$1,164.98	$1,164.98	$1,199.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,319.35 / $1,443.88 / $1,785.01	Professional		$1,319.35	$1,443.88	$1,785.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,055.69 / $1,151.66 / $1,343.61	Professional		$1,055.69	$1,151.66	$1,343.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $978.91 / $1,214.63 / $1,586.16	Professional		$978.91	$1,214.63	$1,586.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,223.41 / $1,845.62	Professional		$29.27	$1,223.41	$1,845.62