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 $1,075.67 / $1,197.21 / $1,480.38	Professional		$1,075.67	$1,197.21	$1,480.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.73 / $1,508.25 / $3,101.31	Professional		$1,230.73	$1,508.25	$3,101.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,620.60 / $1,820.79 / $2,093.91	Professional		$1,620.60	$1,820.79	$2,093.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,279.00 / $1,447.92 / $1,689.24	Professional		$1,279.00	$1,447.92	$1,689.24
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 $1,130.26 / $1,508.25 / $2,063.51	Professional		$1,130.26	$1,508.25	$2,063.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,107.46 / $1,732.60	Professional		$29.27	$1,107.46	$1,732.60