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 $942.22 / $942.22 / $942.22	Professional		$942.22	$942.22	$942.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.10 / $1,076.10 / $1,215.66	Professional		$1,076.10	$1,076.10	$1,215.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,320.12 / $1,444.72 / $1,786.04	Professional		$1,320.12	$1,444.72	$1,786.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.98 / $1,033.07 / $1,205.25	Professional		$946.98	$1,033.07	$1,205.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.11 / $1,111.19 / $1,437.26	Professional		$878.11	$1,111.19	$1,437.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,106.25 / $1,732.08	Professional		$29.27	$1,106.25	$1,732.08