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 $1,002.06 / $1,002.06 / $1,002.06	Professional		$1,002.06	$1,002.06	$1,002.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.01 / $1,095.01 / $1,289.84	Professional		$1,095.01	$1,095.01	$1,289.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,457.66 / $1,677.15 / $10,901.00	Professional		$1,457.66	$1,677.15	$10,901.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.61 / $1,051.21 / $1,226.41	Professional		$963.61	$1,051.21	$1,226.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.53 / $1,140.32 / $1,470.75	Professional		$893.53	$1,140.32	$1,470.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,214.25 / $1,834.28	Professional		$29.27	$1,214.25	$1,834.28