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 $920.16 / $1,012.43 / $1,248.04	Professional		$920.16	$1,012.43	$1,248.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.47 / $1,287.84 / $2,623.52	Professional		$1,044.47	$1,287.84	$2,623.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,385.41 / $1,556.55 / $1,790.03	Professional		$1,385.41	$1,556.55	$1,790.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.09 / $1,236.33 / $1,442.39	Professional		$1,092.09	$1,236.33	$1,442.39
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 $947.28 / $1,287.84 / $1,751.00	Professional		$947.28	$1,287.84	$1,751.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $995.33 / $1,600.30	Professional		$29.27	$995.33	$1,600.30