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 $1,113.69 / $1,113.69 / $1,135.11	Professional		$1,113.69	$1,113.69	$1,135.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.68 / $1,325.54 / $1,325.54	Professional		$1,108.68	$1,325.54	$1,325.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,453.60 / $1,633.17 / $1,927.14	Professional		$1,453.60	$1,633.17	$1,927.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,166.47 / $1,272.52 / $1,484.60	Professional		$1,166.47	$1,272.52	$1,484.60
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 $1,081.64 / $1,325.54 / $1,697.72	Professional		$1,081.64	$1,325.54	$1,697.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $973.05 / $1,465.29	Professional		$29.27	$973.05	$1,465.29