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 $1,061.28 / $1,111.61 / $1,111.61	Professional		$1,061.28	$1,111.61	$1,111.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.96 / $1,270.05 / $1,270.05	Professional		$1,021.96	$1,270.05	$1,270.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,473.46 / $1,695.34 / $6,874.20	Professional		$1,473.46	$1,695.34	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,117.64 / $1,219.25 / $1,422.46	Professional		$1,117.64	$1,219.25	$1,422.46
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 $1,036.35 / $1,270.05 / $1,648.31	Professional		$1,036.35	$1,270.05	$1,648.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,041.90 / $1,645.97	Professional		$29.27	$1,041.90	$1,645.97