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 $862.89 / $1,021.04 / $1,021.04	Professional		$862.89	$1,021.04	$1,021.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,137.76 / $1,361.40 / $1,379.57	Professional		$1,137.76	$1,361.40	$1,379.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,506.63 / $1,692.75 / $1,997.45	Professional		$1,506.63	$1,692.75	$1,997.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,198.03 / $1,306.94 / $1,524.77	Professional		$1,198.03	$1,306.94	$1,524.77
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 $1,110.90 / $1,361.40 / $1,776.09	Professional		$1,110.90	$1,361.40	$1,776.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,344.68 / $1,667.18	Professional		$29.27	$1,344.68	$1,667.18