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 $992.37 / $1,110.31 / $1,367.61	Professional		$992.37	$1,110.31	$1,367.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.47 / $1,400.09 / $2,867.59	Professional		$1,142.47	$1,400.09	$2,867.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,505.25 / $1,691.19 / $1,944.87	Professional		$1,505.25	$1,691.19	$1,944.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,187.27 / $1,344.08 / $1,568.10	Professional		$1,187.27	$1,344.08	$1,568.10
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 $1,045.01 / $1,400.09 / $1,907.52	Professional		$1,045.01	$1,400.09	$1,907.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,028.63 / $1,624.73	Professional		$29.27	$1,028.63	$1,624.73