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 $945.03 / $1,031.16 / $1,274.71	Professional		$945.03	$1,031.16	$1,274.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,065.24 / $1,272.90 / $2,602.28	Professional		$1,065.24	$1,272.90	$2,602.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,428.79 / $1,605.29 / $1,846.08	Professional		$1,428.79	$1,605.29	$1,846.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,079.42 / $1,221.98 / $1,425.65	Professional		$1,079.42	$1,221.98	$1,425.65
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 $1,016.84 / $1,322.35 / $2,177.82	Professional		$1,016.84	$1,322.35	$2,177.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,019.15 / $1,645.30	Professional		$29.27	$1,019.15	$1,645.30