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 $1,055.58 / $1,055.58 / $1,060.81	Professional		$1,055.58	$1,055.58	$1,060.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.20 / $1,310.24 / $1,310.24	Professional		$1,034.20	$1,310.24	$1,310.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,440.41 / $1,618.34 / $1,909.64	Professional		$1,440.41	$1,618.34	$1,909.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,153.01 / $1,257.83 / $1,467.47	Professional		$1,153.01	$1,257.83	$1,467.47
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 $1,069.15 / $1,310.24 / $1,699.68	Professional		$1,069.15	$1,310.24	$1,699.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $959.06 / $1,756.43	Professional		$29.27	$959.06	$1,756.43