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 $729.07 / $784.25 / $976.07	Professional		$729.07	$784.25	$976.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.03 / $1,031.34 / $2,017.79	Professional		$809.03	$1,031.34	$2,017.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,228.95 / $1,380.76 / $1,587.87	Professional		$1,228.95	$1,380.76	$1,587.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.62 / $969.76 / $1,131.38	Professional		$856.62	$969.76	$1,131.38
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 $782.65 / $1,010.16 / $1,440.57	Professional		$782.65	$1,010.16	$1,440.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $723.92 / $1,090.14	Professional		$136.27	$723.92	$1,090.14