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 $1,157.56 / $1,195.90 / $1,195.90	Professional		$1,157.56	$1,195.90	$1,195.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.75 / $1,319.99 / $1,399.78	Professional		$1,112.75	$1,319.99	$1,399.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,520.68 / $1,708.53 / $2,016.07	Professional		$1,520.68	$1,708.53	$2,016.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,161.58 / $1,267.19 / $1,478.39	Professional		$1,161.58	$1,267.19	$1,478.39
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 $1,077.10 / $1,319.99 / $1,714.53	Professional		$1,077.10	$1,319.99	$1,714.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,241.59 / $1,918.97	Professional		$29.27	$1,241.59	$1,918.97