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 $874.40 / $874.40 / $874.40	Professional		$874.40	$874.40	$874.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.85 / $1,057.85 / $1,119.99	Professional		$1,057.85	$1,057.85	$1,119.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,222.38 / $1,337.76 / $1,653.80	Professional		$1,222.38	$1,337.76	$1,653.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $930.92 / $1,015.55 / $1,184.81	Professional		$930.92	$1,015.55	$1,184.81
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 $863.22 / $1,059.98 / $1,387.83	Professional		$863.22	$1,059.98	$1,387.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,064.35 / $1,541.05	Professional		$29.27	$1,064.35	$1,541.05