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 $889.38 / $889.38 / $1,021.75	Professional		$889.38	$889.38	$1,021.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.82 / $1,234.44 / $1,234.44	Professional		$1,012.82	$1,234.44	$1,234.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,297.71 / $1,458.02 / $1,720.46	Professional		$1,297.71	$1,458.02	$1,720.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,086.31 / $1,185.06 / $1,382.57	Professional		$1,086.31	$1,185.06	$1,382.57
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 $1,007.30 / $1,234.44 / $1,556.46	Professional		$1,007.30	$1,234.44	$1,556.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $886.81 / $1,335.44	Professional		$29.27	$886.81	$1,335.44