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 $1,027.55 / $1,155.26 / $5,170.00	Professional		$1,027.55	$1,155.26	$5,170.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.13 / $1,407.76 / $1,407.76	Professional		$1,127.13	$1,407.76	$1,407.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,512.07 / $1,739.76 / $11,782.00	Professional		$1,512.07	$1,739.76	$11,782.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,238.83 / $1,351.45 / $1,576.69	Professional		$1,238.83	$1,351.45	$1,576.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.73 / $1,407.76 / $1,841.31	Professional		$1,148.73	$1,407.76	$1,841.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,031.03 / $1,937.24	Professional		$29.27	$1,031.03	$1,937.24