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 $906.69 / $947.71 / $947.71	Professional		$906.69	$947.71	$947.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.51 / $1,089.54 / $1,089.54	Professional		$872.51	$1,089.54	$1,089.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,279.22 / $1,437.24 / $1,695.94	Professional		$1,279.22	$1,437.24	$1,695.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $958.79 / $1,045.96 / $1,220.28	Professional		$958.79	$1,045.96	$1,220.28
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 $889.06 / $1,089.54 / $1,408.05	Professional		$889.06	$1,089.54	$1,408.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $892.57 / $1,408.19	Professional		$29.27	$892.57	$1,408.19