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 $845.44 / $906.40 / $1,121.90	Professional		$845.44	$906.40	$1,121.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.22 / $1,155.70 / $2,351.01	Professional		$913.22	$1,155.70	$2,351.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,234.15 / $1,386.60 / $1,594.59	Professional		$1,234.15	$1,386.60	$1,594.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $980.03 / $1,109.47 / $1,294.38	Professional		$980.03	$1,109.47	$1,294.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.77 / $1,155.70 / $1,653.88	Professional		$897.77	$1,155.70	$1,653.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $843.37 / $1,354.49	Professional		$29.27	$843.37	$1,354.49