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 $952.33 / $993.04 / $993.04	Professional		$952.33	$993.04	$993.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.46 / $1,140.48 / $1,140.48	Professional		$917.46	$1,140.48	$1,140.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,315.89 / $1,478.45 / $1,744.57	Professional		$1,315.89	$1,478.45	$1,744.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,003.62 / $1,094.85 / $1,277.33	Professional		$1,003.62	$1,094.85	$1,277.33
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 $930.63 / $1,140.48 / $1,479.90	Professional		$930.63	$1,140.48	$1,479.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $912.03 / $1,422.20	Professional		$29.27	$912.03	$1,422.20