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 $998.64 / $998.64 / $998.64	Professional		$998.64	$998.64	$998.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.00 / $1,126.00 / $1,299.93	Professional		$1,126.00	$1,126.00	$1,299.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,477.58 / $1,617.06 / $1,999.08	Professional		$1,477.58	$1,617.06	$1,999.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $990.88 / $1,080.96 / $1,261.11	Professional		$990.88	$1,080.96	$1,261.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $918.82 / $1,169.59 / $1,509.95	Professional		$918.82	$1,169.59	$1,509.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,158.05 / $1,830.25	Professional		$29.27	$1,158.05	$1,830.25