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 $980.07 / $1,022.10 / $1,022.10	Professional		$980.07	$1,022.10	$1,022.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.79 / $1,166.30 / $1,166.30	Professional		$944.79	$1,166.30	$1,166.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,349.44 / $1,552.65 / $6,874.20	Professional		$1,349.44	$1,552.65	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,026.33 / $1,119.65 / $1,306.26	Professional		$1,026.33	$1,119.65	$1,306.26
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 $951.70 / $1,169.20 / $1,526.81	Professional		$951.70	$1,169.20	$1,526.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $955.28 / $1,509.82	Professional		$29.27	$955.28	$1,509.82