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 $1,016.75 / $1,095.23 / $1,353.31	Professional		$1,016.75	$1,095.23	$1,353.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.47 / $1,505.55 / $2,749.99	Professional		$1,121.47	$1,505.55	$2,749.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,781.17 / $2,001.19 / $2,301.37	Professional		$1,781.17	$2,001.19	$2,301.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,113.17 / $1,260.19 / $1,470.22	Professional		$1,113.17	$1,260.19	$1,470.22
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 $1,071.16 / $1,353.00 / $1,958.53	Professional		$1,071.16	$1,353.00	$1,958.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $998.81 / $1,461.31	Professional		$182.66	$998.81	$1,461.31