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 $1,097.21 / $1,097.21 / $1,097.21	Professional		$1,097.21	$1,097.21	$1,097.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.30 / $1,160.30 / $1,403.59	Professional		$1,160.30	$1,160.30	$1,403.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,487.53 / $1,627.95 / $2,012.55	Professional		$1,487.53	$1,627.95	$2,012.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,021.06 / $1,113.89 / $1,299.54	Professional		$1,021.06	$1,113.89	$1,299.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $946.80 / $1,207.33 / $1,557.48	Professional		$946.80	$1,207.33	$1,557.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,194.33 / $1,962.60	Professional		$29.27	$1,194.33	$1,962.60