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 $1,137.50 / $1,206.41 / $1,206.41	Professional		$1,137.50	$1,206.41	$1,206.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.92 / $1,352.24 / $1,369.17	Professional		$1,097.92	$1,352.24	$1,369.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,565.67 / $1,759.07 / $2,075.69	Professional		$1,565.67	$1,759.07	$2,075.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,189.97 / $1,298.15 / $1,514.51	Professional		$1,189.97	$1,298.15	$1,514.51
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 $1,103.43 / $1,352.24 / $1,758.50	Professional		$1,103.43	$1,352.24	$1,758.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,145.61 / $1,797.66	Professional		$29.27	$1,145.61	$1,797.66