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 $902.23 / $902.23 / $902.23	Professional		$902.23	$902.23	$902.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.99 / $1,125.99 / $1,154.95	Professional		$1,125.99	$1,125.99	$1,154.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,380.56 / $1,592.97 / $1,804.43	Professional		$1,380.56	$1,592.97	$1,804.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $990.87 / $1,080.95 / $1,261.10	Professional		$990.87	$1,080.95	$1,261.10
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 $918.81 / $1,184.96 / $1,529.03	Professional		$918.81	$1,184.96	$1,529.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $836.09 / $1,249.22	Professional		$29.27	$836.09	$1,249.22