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 $879.39 / $879.39 / $1,012.53	Professional		$879.39	$879.39	$1,012.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.95 / $1,207.21 / $1,207.21	Professional		$1,005.95	$1,207.21	$1,207.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,287.27 / $1,446.29 / $1,706.62	Professional		$1,287.27	$1,446.29	$1,706.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,062.34 / $1,158.92 / $1,352.08	Professional		$1,062.34	$1,158.92	$1,352.08
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 $985.09 / $1,207.21 / $1,538.03	Professional		$985.09	$1,207.21	$1,538.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $926.54 / $1,312.51	Professional		$29.27	$926.54	$1,312.51