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 $604.09 / $820.96 / $820.96	Professional		$604.09	$820.96	$820.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.09 / $1,141.83 / $1,141.83	Professional		$581.09	$1,141.83	$1,141.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,201.56 / $1,349.99 / $1,592.99	Professional		$1,201.56	$1,349.99	$1,592.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.82 / $1,096.16 / $1,278.85	Professional		$1,004.82	$1,096.16	$1,278.85
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 $931.74 / $1,141.83 / $1,439.84	Professional		$931.74	$1,141.83	$1,439.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $830.75 / $1,236.48	Professional		$29.27	$830.75	$1,236.48