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 $713.08 / $810.27 / $1,003.28	Professional		$713.08	$810.27	$1,003.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.04 / $1,032.45 / $2,058.46	Professional		$840.04	$1,032.45	$2,058.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,104.42 / $1,240.84 / $1,426.98	Professional		$1,104.42	$1,240.84	$1,426.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $875.52 / $991.15 / $1,156.33	Professional		$875.52	$991.15	$1,156.33
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 $793.37 / $1,032.45 / $1,468.34	Professional		$793.37	$1,032.45	$1,468.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $756.60 / $1,221.24	Professional		$29.27	$756.60	$1,221.24