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 $955.88 / $955.88 / $955.88	Professional		$955.88	$955.88	$955.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.54 / $1,074.54 / $1,244.97	Professional		$1,074.54	$1,074.54	$1,244.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,290.50 / $1,412.30 / $1,745.96	Professional		$1,290.50	$1,412.30	$1,745.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $945.59 / $1,031.56 / $1,203.48	Professional		$945.59	$1,031.56	$1,203.48
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 $876.82 / $1,118.21 / $1,442.81	Professional		$876.82	$1,118.21	$1,442.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,189.98 / $1,848.09	Professional		$29.27	$1,189.98	$1,848.09