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 $957.01 / $957.01 / $957.01	Professional		$957.01	$957.01	$957.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,037.84 / $1,037.84 / $1,235.95	Professional		$1,037.84	$1,037.84	$1,235.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,316.35 / $1,440.61 / $1,780.95	Professional		$1,316.35	$1,440.61	$1,780.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.31 / $996.34 / $1,162.39	Professional		$913.31	$996.34	$1,162.39
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 $846.89 / $1,081.83 / $1,395.17	Professional		$846.89	$1,081.83	$1,395.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $940.99 / $1,370.85	Professional		$29.27	$940.99	$1,370.85