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 $953.95 / $1,049.28 / $1,299.09	Professional		$953.95	$1,049.28	$1,299.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.56 / $1,322.99 / $2,732.81	Professional		$1,079.56	$1,322.99	$2,732.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,424.08 / $1,600.00 / $1,840.00	Professional		$1,424.08	$1,600.00	$1,840.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,121.89 / $1,270.07 / $1,481.75	Professional		$1,121.89	$1,270.07	$1,481.75
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 $1,035.16 / $1,429.34 / $1,814.16	Professional		$1,035.16	$1,429.34	$1,814.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $973.17 / $1,548.56	Professional		$29.27	$973.17	$1,548.56