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 $777.27 / $777.27 / $927.83	Professional		$777.27	$777.27	$927.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.50 / $1,207.21 / $1,207.21	Professional		$927.50	$1,207.21	$1,207.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,275.44 / $1,433.00 / $1,690.94	Professional		$1,275.44	$1,433.00	$1,690.94
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 / $912.29 / $1,312.51	Professional		$29.27	$912.29	$1,312.51