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 $1,033.79 / $1,151.24 / $1,419.16	Professional		$1,033.79	$1,151.24	$1,419.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,185.69 / $1,453.05 / $2,985.04	Professional		$1,185.69	$1,453.05	$2,985.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,557.85 / $1,750.30 / $2,012.85	Professional		$1,557.85	$1,750.30	$2,012.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,232.19 / $1,394.93 / $1,627.42	Professional		$1,232.19	$1,394.93	$1,627.42
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 $1,088.41 / $1,507.09 / $2,626.10	Professional		$1,088.41	$1,507.09	$2,626.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,064.58 / $1,709.69	Professional		$29.27	$1,064.58	$1,709.69