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 $947.01 / $947.01 / $968.85	Professional		$947.01	$947.01	$968.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.31 / $1,189.89 / $1,189.89	Professional		$943.31	$1,189.89	$1,189.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,254.25 / $1,409.19 / $1,662.84	Professional		$1,254.25	$1,409.19	$1,662.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.09 / $1,142.29 / $1,332.67	Professional		$1,047.09	$1,142.29	$1,332.67
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 $1,035.17 / $1,189.89 / $1,510.83	Professional		$1,035.17	$1,189.89	$1,510.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $857.11 / $1,298.24	Professional		$29.27	$857.11	$1,298.24