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 $1,100.02 / $1,110.07 / $1,110.07	Professional		$1,100.02	$1,110.07	$1,110.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.15 / $1,349.10 / $1,349.10	Professional		$1,081.15	$1,349.10	$1,349.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,553.24 / $1,745.11 / $2,059.23	Professional		$1,553.24	$1,745.11	$2,059.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,187.21 / $1,295.14 / $1,510.99	Professional		$1,187.21	$1,295.14	$1,510.99
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 $1,100.86 / $1,349.10 / $1,748.87	Professional		$1,100.86	$1,349.10	$1,748.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $965.88 / $1,714.65	Professional		$29.27	$965.88	$1,714.65