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 $958.39 / $997.35 / $1,431.00	Professional		$958.39	$997.35	$1,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.45 / $1,150.51 / $1,150.51	Professional		$922.45	$1,150.51	$1,150.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,308.64 / $1,470.30 / $1,734.95	Professional		$1,308.64	$1,470.30	$1,734.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,012.45 / $1,104.49 / $1,288.57	Professional		$1,012.45	$1,104.49	$1,288.57
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 $938.82 / $1,150.51 / $1,488.90	Professional		$938.82	$1,150.51	$1,488.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $945.96 / $1,492.87	Professional		$29.27	$945.96	$1,492.87