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 $823.76 / $823.76 / $827.67	Professional		$823.76	$823.76	$827.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.56 / $1,024.09 / $1,024.09	Professional		$805.56	$1,024.09	$1,024.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,111.21 / $1,248.48 / $1,473.21	Professional		$1,111.21	$1,248.48	$1,473.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.21 / $983.14 / $1,146.99	Professional		$901.21	$983.14	$1,146.99
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 $835.67 / $1,024.09 / $1,326.12	Professional		$835.67	$1,024.09	$1,326.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $749.21 / $1,359.61	Professional		$29.27	$749.21	$1,359.61