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 $875.59 / $903.65 / $903.65	Professional		$875.59	$903.65	$903.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.07 / $1,042.90 / $1,042.90	Professional		$842.07	$1,042.90	$1,042.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,193.96 / $1,341.45 / $1,582.91	Professional		$1,193.96	$1,341.45	$1,582.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $917.75 / $1,001.18 / $1,168.05	Professional		$917.75	$1,001.18	$1,168.05
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 $1,042.90 / $1,042.90 / $1,347.14	Professional		$1,042.90	$1,042.90	$1,347.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $851.24 / $1,340.14	Professional		$29.27	$851.24	$1,340.14