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 $1,009.94 / $1,084.29 / $1,084.29	Professional		$1,009.94	$1,084.29	$1,084.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.36 / $1,209.94 / $1,227.07	Professional		$972.36	$1,209.94	$1,227.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,429.85 / $1,606.48 / $1,895.65	Professional		$1,429.85	$1,606.48	$1,895.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.75 / $1,161.54 / $1,355.13	Professional		$1,064.75	$1,161.54	$1,355.13
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 $987.31 / $1,209.94 / $1,567.91	Professional		$987.31	$1,209.94	$1,567.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,001.93 / $1,594.78	Professional		$29.27	$1,001.93	$1,594.78