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 $951.97 / $992.15 / $992.15	Professional		$951.97	$992.15	$992.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.29 / $1,142.49 / $1,142.49	Professional		$916.29	$1,142.49	$1,142.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,289.78 / $1,449.11 / $1,709.95	Professional		$1,289.78	$1,449.11	$1,709.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,005.39 / $1,096.79 / $1,279.58	Professional		$1,005.39	$1,096.79	$1,279.58
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 $932.27 / $1,142.49 / $1,478.39	Professional		$932.27	$1,142.49	$1,478.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $950.50 / $1,514.81	Professional		$29.27	$950.50	$1,514.81