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 $864.58 / $864.58 / $864.58	Professional		$864.58	$864.58	$864.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,005.96 / $1,325.74 / $1,590.89	Professional		$1,005.96	$1,325.74	$1,590.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,399.62 / $1,531.73 / $1,808.39	Professional		$1,399.62	$1,531.73	$1,808.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,166.65 / $1,272.71 / $1,484.83	Professional		$1,166.65	$1,272.71	$1,484.83
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 $1,023.34 / $1,325.74 / $1,683.32	Professional		$1,023.34	$1,325.74	$1,683.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $867.65 / $1,429.04	Professional		$29.27	$867.65	$1,429.04