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 $595.09 / $1,068.11 / $1,738.51	Professional		$595.09	$1,068.11	$1,738.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,072.51 / $1,373.75 / $1,648.50	Professional		$1,072.51	$1,373.75	$1,648.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,451.52 / $1,630.83 / $1,896.31	Professional		$1,451.52	$1,630.83	$1,896.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,208.90 / $1,318.80 / $1,538.60	Professional		$1,208.90	$1,318.80	$1,538.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,100.52 / $1,373.75 / $1,803.05	Professional		$1,100.52	$1,373.75	$1,803.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $991.92 / $1,747.91	Professional		$29.27	$991.92	$1,747.91