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 $1,152.45 / $1,152.45 / $1,152.45	Professional		$1,152.45	$1,152.45	$1,152.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.59 / $1,394.59 / $1,474.85	Professional		$1,394.59	$1,394.59	$1,474.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,604.84 / $1,756.32 / $2,171.26	Professional		$1,604.84	$1,756.32	$2,171.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.24 / $1,338.80 / $1,561.94	Professional		$1,227.24	$1,338.80	$1,561.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $3,960.00 / $3,960.00	Facility		$3,960.00	$3,960.00	$3,960.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,137.98 / $1,405.35 / $1,838.10	Professional		$1,137.98	$1,405.35	$1,838.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,419.60 / $2,066.14	Professional		$29.27	$1,419.60	$2,066.14