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 $893.02 / $893.02 / $893.02	Professional		$893.02	$893.02	$893.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,158.45 / $1,158.45 / $1,187.08	Professional		$1,158.45	$1,158.45	$1,187.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,288.17 / $1,409.76 / $1,742.81	Professional		$1,288.17	$1,409.76	$1,742.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.64 / $1,139.59 / $1,329.54	Professional		$1,044.64	$1,139.59	$1,329.54
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 $968.66 / $1,234.99 / $1,592.90	Professional		$968.66	$1,234.99	$1,592.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,222.04 / $1,643.48	Professional		$29.27	$1,222.04	$1,643.48