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 $765.75 / $765.75 / $886.48	Professional		$765.75	$765.75	$886.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.07 / $1,062.23 / $1,062.23	Professional		$879.07	$1,062.23	$1,062.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,123.76 / $1,262.58 / $1,489.84	Professional		$1,123.76	$1,262.58	$1,489.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $934.76 / $1,019.74 / $1,189.69	Professional		$934.76	$1,019.74	$1,189.69
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 $866.78 / $1,062.23 / $1,347.03	Professional		$866.78	$1,062.23	$1,347.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $788.61 / $1,152.00	Professional		$29.27	$788.61	$1,152.00