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 $990.52 / $1,118.33 / $1,371.62	Professional		$990.52	$1,118.33	$1,371.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,411.16 / $2,889.63	Professional		$1,053.00	$1,411.16	$2,889.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,516.61 / $1,703.96 / $1,959.55	Professional		$1,516.61	$1,703.96	$1,959.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,196.67 / $1,354.72 / $1,580.50	Professional		$1,196.67	$1,354.72	$1,580.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.55 / $1,411.16 / $1,921.80	Professional		$1,041.55	$1,411.16	$1,921.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,036.40 / $1,562.28	Professional		$29.27	$1,036.40	$1,562.28