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 $1,157.08 / $1,223.33 / $1,715.33	Professional		$1,157.08	$1,223.33	$1,715.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.59 / $1,381.95 / $1,390.55	Professional		$1,114.59	$1,381.95	$1,390.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,582.99 / $1,778.54 / $2,098.67	Professional		$1,582.99	$1,778.54	$2,098.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,216.11 / $1,326.67 / $1,547.78	Professional		$1,216.11	$1,326.67	$1,547.78
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 $1,127.67 / $1,381.95 / $1,797.30	Professional		$1,127.67	$1,381.95	$1,797.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,268.69 / $1,962.08	Professional		$29.27	$1,268.69	$1,962.08