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 $947.32 / $947.32 / $947.32	Professional		$947.32	$947.32	$947.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.62 / $1,215.15 / $1,458.18	Professional		$944.62	$1,215.15	$1,458.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,277.67 / $1,398.27 / $1,650.83	Professional		$1,277.67	$1,398.27	$1,650.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,069.33 / $1,166.54 / $1,360.97	Professional		$1,069.33	$1,166.54	$1,360.97
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 $960.30 / $1,215.15 / $1,524.00	Professional		$960.30	$1,215.15	$1,524.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $873.11 / $1,314.80	Professional		$29.27	$873.11	$1,314.80