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 $1,097.34 / $1,097.34 / $1,097.34	Professional		$1,097.34	$1,097.34	$1,097.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.39 / $1,344.39 / $1,423.99	Professional		$1,344.39	$1,344.39	$1,423.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,560.98 / $1,708.32 / $2,111.92	Professional		$1,560.98	$1,708.32	$2,111.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,183.06 / $1,290.60 / $1,505.71	Professional		$1,183.06	$1,290.60	$1,505.71
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 $1,097.02 / $1,370.85 / $1,787.07	Professional		$1,097.02	$1,370.85	$1,787.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,378.26 / $2,071.38	Professional		$29.27	$1,378.26	$2,071.38