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 $854.68 / $917.13 / $1,380.11	Professional		$854.68	$917.13	$1,380.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $936.89 / $1,121.13 / $1,121.13	Professional		$936.89	$1,121.13	$1,121.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,207.41 / $1,356.56 / $1,600.74	Professional		$1,207.41	$1,356.56	$1,600.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $986.59 / $1,076.28 / $1,255.66	Professional		$986.59	$1,076.28	$1,255.66
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 $914.84 / $1,121.13 / $1,475.82	Professional		$914.84	$1,121.13	$1,475.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,145.19 / $1,460.17	Professional		$29.27	$1,145.19	$1,460.17