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 $996.44 / $1,193.92 / $1,193.92	Professional		$996.44	$1,193.92	$1,193.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,320.37 / $1,550.51 / $1,636.28	Professional		$1,320.37	$1,550.51	$1,636.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,780.03 / $1,999.91 / $2,359.89	Professional		$1,780.03	$1,999.91	$2,359.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,364.45 / $1,488.49 / $1,736.57	Professional		$1,364.45	$1,488.49	$1,736.57
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 $1,265.22 / $1,621.47 / $2,059.37	Professional		$1,265.22	$1,621.47	$2,059.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,558.51 / $2,269.78	Professional		$29.27	$1,558.51	$2,269.78