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 $1,145.73 / $1,145.73 / $1,773.93	Professional		$1,145.73	$1,145.73	$1,773.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.63 / $1,427.31 / $1,427.31	Professional		$1,120.63	$1,427.31	$1,427.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,600.54 / $1,841.56 / $6,874.20	Professional		$1,600.54	$1,841.56	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,256.04 / $1,370.22 / $1,598.59	Professional		$1,256.04	$1,370.22	$1,598.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,164.69 / $1,427.31 / $1,850.01	Professional		$1,164.69	$1,427.31	$1,850.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,046.38 / $1,947.93	Professional		$29.27	$1,046.38	$1,947.93