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 $1,019.02 / $1,130.21 / $1,391.56	Professional		$1,019.02	$1,130.21	$1,391.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.83 / $1,425.89 / $2,925.46	Professional		$1,108.83	$1,425.89	$2,925.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,530.66 / $1,719.75 / $1,977.71	Professional		$1,530.66	$1,719.75	$1,977.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,209.15 / $1,368.85 / $1,596.99	Professional		$1,209.15	$1,368.85	$1,596.99
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 $1,124.51 / $1,475.46 / $1,947.61	Professional		$1,124.51	$1,475.46	$1,947.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,046.00 / $1,600.70	Professional		$29.27	$1,046.00	$1,600.70