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 $895.41 / $895.41 / $895.41	Professional		$895.41	$895.41	$895.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.29 / $1,112.58 / $1,335.11	Professional		$869.29	$1,112.58	$1,335.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,193.25 / $1,305.88 / $1,541.75	Professional		$1,193.25	$1,305.88	$1,541.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $979.08 / $1,068.08 / $1,246.09	Professional		$979.08	$1,068.08	$1,246.09
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 $907.87 / $1,112.58 / $1,449.74	Professional		$907.87	$1,112.58	$1,449.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $824.40 / $1,227.93	Professional		$29.27	$824.40	$1,227.93