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 $924.94 / $924.94 / $924.94	Professional		$924.94	$924.94	$924.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.58 / $1,453.20 / $1,743.84	Professional		$995.58	$1,453.20	$1,743.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,529.36 / $1,673.72 / $1,976.02	Professional		$1,529.36	$1,673.72	$1,976.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,278.82 / $1,395.07 / $1,627.58	Professional		$1,278.82	$1,395.07	$1,627.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.49 / $1,453.20 / $1,838.33	Professional		$1,114.49	$1,453.20	$1,838.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $959.63 / $1,566.67	Professional		$29.27	$959.63	$1,566.67