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 $1,010.37 / $1,010.37 / $1,010.37	Professional		$1,010.37	$1,010.37	$1,010.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.74 / $1,396.03 / $1,675.23	Professional		$1,074.74	$1,396.03	$1,675.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,458.83 / $1,596.53 / $1,884.90	Professional		$1,458.83	$1,596.53	$1,884.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,228.50 / $1,340.18 / $1,563.55	Professional		$1,228.50	$1,340.18	$1,563.55
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 $1,102.68 / $1,396.03 / $1,761.06	Professional		$1,102.68	$1,396.03	$1,761.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,057.59 / $1,501.24	Professional		$29.27	$1,057.59	$1,501.24