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 $1,001.70 / $1,081.65 / $1,338.39	Professional		$1,001.70	$1,081.65	$1,338.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,118.58 / $1,364.65 / $2,812.88	Professional		$1,118.58	$1,364.65	$2,812.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,464.59 / $1,645.51 / $1,892.34	Professional		$1,464.59	$1,645.51	$1,892.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,157.22 / $1,310.06 / $1,528.41	Professional		$1,157.22	$1,310.06	$1,528.41
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 $1,075.10 / $1,364.65 / $1,958.39	Professional		$1,075.10	$1,364.65	$1,958.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,156.25 / $1,826.12	Professional		$29.27	$1,156.25	$1,826.12