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 $1,029.07 / $1,029.07 / $1,072.65	Professional		$1,029.07	$1,029.07	$1,072.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.14 / $1,349.65 / $1,349.65	Professional		$1,060.14	$1,349.65	$1,349.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,438.95 / $1,616.70 / $1,907.71	Professional		$1,438.95	$1,616.70	$1,907.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,187.69 / $1,295.66 / $1,511.61	Professional		$1,187.69	$1,295.66	$1,511.61
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 $1,101.31 / $1,349.65 / $1,695.05	Professional		$1,101.31	$1,349.65	$1,695.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $983.32 / $1,588.80	Professional		$29.27	$983.32	$1,588.80