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 $1,059.71 / $1,059.71 / $1,059.71	Professional		$1,059.71	$1,059.71	$1,059.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,155.29 / $1,155.29 / $1,373.31	Professional		$1,155.29	$1,155.29	$1,373.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,480.40 / $1,620.15 / $2,002.90	Professional		$1,480.40	$1,620.15	$2,002.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,016.65 / $1,109.08 / $1,293.92	Professional		$1,016.65	$1,109.08	$1,293.92
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 $942.71 / $1,208.19 / $1,556.12	Professional		$942.71	$1,208.19	$1,556.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,282.52 / $1,911.58	Professional		$29.27	$1,282.52	$1,911.58