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 $953.68 / $953.68 / $953.68	Professional		$953.68	$953.68	$953.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.28 / $1,174.28 / $1,229.02	Professional		$1,174.28	$1,174.28	$1,229.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,261.84 / $1,380.96 / $1,707.21	Professional		$1,261.84	$1,380.96	$1,707.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,033.35 / $1,127.30 / $1,315.19	Professional		$1,033.35	$1,127.30	$1,315.19
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 $958.21 / $1,181.53 / $1,544.58	Professional		$958.21	$1,181.53	$1,544.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,109.97 / $1,607.95	Professional		$29.27	$1,109.97	$1,607.95