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 $861.35 / $943.67 / $1,164.71	Professional		$861.35	$943.67	$1,164.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.62 / $1,188.26 / $2,342.98	Professional		$969.62	$1,188.26	$2,342.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,266.02 / $1,422.41 / $1,635.77	Professional		$1,266.02	$1,422.41	$1,635.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,007.65 / $1,140.73 / $1,330.85	Professional		$1,007.65	$1,140.73	$1,330.85
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 $926.21 / $1,201.30 / $1,657.45	Professional		$926.21	$1,201.30	$1,657.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $878.41 / $1,416.25	Professional		$29.27	$878.41	$1,416.25