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 $912.75 / $949.62 / $949.62	Professional		$912.75	$949.62	$949.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.34 / $1,096.48 / $1,096.48	Professional		$878.34	$1,096.48	$1,096.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,235.93 / $1,388.60 / $1,638.55	Professional		$1,235.93	$1,388.60	$1,638.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.90 / $1,052.61 / $1,228.05	Professional		$964.90	$1,052.61	$1,228.05
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 $894.72 / $1,096.48 / $1,417.76	Professional		$894.72	$1,096.48	$1,417.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $900.26 / $1,420.21	Professional		$29.27	$900.26	$1,420.21