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 $1,025.52 / $1,025.52 / $1,538.17	Professional		$1,025.52	$1,025.52	$1,538.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,255.88 / $1,255.88 / $1,318.31	Professional		$1,255.88	$1,255.88	$1,318.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,442.12 / $1,578.24 / $1,951.10	Professional		$1,442.12	$1,578.24	$1,951.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,105.17 / $1,205.64 / $1,406.58	Professional		$1,105.17	$1,205.64	$1,406.58
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 $1,024.79 / $1,255.88 / $1,634.66	Professional		$1,024.79	$1,255.88	$1,634.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,190.38 / $1,730.78	Professional		$29.27	$1,190.38	$1,730.78