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 $940.05 / $951.96 / $951.96	Professional		$940.05	$951.96	$951.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.97 / $1,173.05 / $1,173.05	Professional		$915.97	$1,173.05	$1,173.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,269.08 / $1,425.84 / $1,682.49	Professional		$1,269.08	$1,425.84	$1,682.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,032.28 / $1,126.13 / $1,313.82	Professional		$1,032.28	$1,126.13	$1,313.82
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 $957.21 / $1,173.05 / $1,508.75	Professional		$957.21	$1,173.05	$1,508.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $814.09 / $1,291.75	Professional		$29.27	$814.09	$1,291.75