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 $1,061.45 / $1,078.86 / $1,078.86	Professional		$1,061.45	$1,078.86	$1,078.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.73 / $1,244.00 / $1,249.80	Professional		$1,022.73	$1,244.00	$1,249.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,420.68 / $1,596.18 / $1,883.49	Professional		$1,420.68	$1,596.18	$1,883.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.72 / $1,194.24 / $1,393.28	Professional		$1,094.72	$1,194.24	$1,393.28
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 $1,015.10 / $1,244.00 / $1,636.05	Professional		$1,015.10	$1,244.00	$1,636.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,048.50 / $1,666.02	Professional		$29.27	$1,048.50	$1,666.02