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 $919.66 / $1,017.62 / $1,251.08	Professional		$919.66	$1,017.62	$1,251.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.58 / $1,298.91 / $2,334.83	Professional		$1,047.58	$1,298.91	$2,334.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,357.25 / $1,524.92 / $1,753.66	Professional		$1,357.25	$1,524.92	$1,753.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,101.48 / $1,246.96 / $1,454.78	Professional		$1,101.48	$1,246.96	$1,454.78
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 $957.47 / $1,298.91 / $1,710.90	Professional		$957.47	$1,298.91	$1,710.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $930.83 / $1,463.55	Professional		$29.27	$930.83	$1,463.55