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 $822.40 / $822.40 / $999.50	Professional		$822.40	$822.40	$999.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.17 / $1,200.03 / $1,200.03	Professional		$993.17	$1,200.03	$1,200.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,267.85 / $1,424.48 / $1,680.89	Professional		$1,267.85	$1,424.48	$1,680.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,056.02 / $1,152.02 / $1,344.03	Professional		$1,056.02	$1,152.02	$1,344.03
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 $979.22 / $1,200.03 / $1,524.12	Professional		$979.22	$1,200.03	$1,524.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $910.86 / $1,304.72	Professional		$29.27	$910.86	$1,304.72