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 $1,071.58 / $1,071.58 / $1,071.58	Professional		$1,071.58	$1,071.58	$1,071.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.64 / $1,286.64 / $1,371.76	Professional		$1,286.64	$1,286.64	$1,371.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,427.01 / $1,561.71 / $1,930.67	Professional		$1,427.01	$1,561.71	$1,930.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,132.24 / $1,235.17 / $1,441.03	Professional		$1,132.24	$1,235.17	$1,441.03
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 $1,049.90 / $1,291.04 / $1,690.50	Professional		$1,049.90	$1,291.04	$1,690.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,271.79 / $1,865.25	Professional		$29.27	$1,271.79	$1,865.25