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 $1,031.93 / $1,031.93 / $1,031.93	Professional		$1,031.93	$1,031.93	$1,031.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,067.57 / $1,543.66 / $1,852.40	Professional		$1,067.57	$1,543.66	$1,852.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,632.84 / $1,786.97 / $2,109.73	Professional		$1,632.84	$1,786.97	$2,109.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,358.42 / $1,481.92 / $1,728.90	Professional		$1,358.42	$1,481.92	$1,728.90
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 $1,198.68 / $1,543.66 / $1,912.44	Professional		$1,198.68	$1,543.66	$1,912.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,175.00 / $1,680.31	Professional		$29.27	$1,175.00	$1,680.31