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 $1,167.44 / $1,167.44 / $1,167.44	Professional		$1,167.44	$1,167.44	$1,167.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.70 / $1,244.70 / $1,501.44	Professional		$1,244.70	$1,244.70	$1,501.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,485.33 / $1,625.54 / $2,009.57	Professional		$1,485.33	$1,625.54	$2,009.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,095.33 / $1,194.91 / $1,394.06	Professional		$1,095.33	$1,194.91	$1,394.06
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 $1,015.68 / $1,303.06 / $1,677.89	Professional		$1,015.68	$1,303.06	$1,677.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,282.98 / $1,660.52	Professional		$29.27	$1,282.98	$1,660.52