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 $876.90 / $876.90 / $1,049.06	Professional		$876.90	$876.90	$1,049.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.02 / $1,260.93 / $1,260.93	Professional		$1,042.02	$1,260.93	$1,260.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,330.71 / $1,495.09 / $1,764.21	Professional		$1,330.71	$1,495.09	$1,764.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,109.60 / $1,210.49 / $1,412.24	Professional		$1,109.60	$1,210.49	$1,412.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.91 / $1,260.93 / $1,599.50	Professional		$1,028.91	$1,260.93	$1,599.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $909.36 / $1,358.68	Professional		$29.27	$909.36	$1,358.68