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 $987.86 / $1,054.33 / $1,305.46	Professional		$987.86	$1,054.33	$1,305.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.64 / $1,363.63 / $2,519.41	Professional		$1,093.64	$1,363.63	$2,519.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,437.22 / $1,614.76 / $1,856.97	Professional		$1,437.22	$1,614.76	$1,856.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,156.34 / $1,309.08 / $1,527.26	Professional		$1,156.34	$1,309.08	$1,527.26
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 $1,016.80 / $1,363.63 / $1,935.91	Professional		$1,016.80	$1,363.63	$1,935.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,208.14 / $1,914.44	Professional		$29.27	$1,208.14	$1,914.44