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 $1,101.27 / $1,101.27 / $1,101.27	Professional		$1,101.27	$1,101.27	$1,101.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.97 / $1,413.31 / $1,695.98	Professional		$1,093.97	$1,413.31	$1,695.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,477.96 / $1,617.48 / $1,909.62	Professional		$1,477.96	$1,617.48	$1,909.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,243.72 / $1,356.78 / $1,582.91	Professional		$1,243.72	$1,356.78	$1,582.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.36 / $1,413.31 / $1,802.46	Professional		$1,133.36	$1,413.31	$1,802.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,090.92 / $1,520.92	Professional		$29.27	$1,090.92	$1,520.92