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 $1,052.53 / $1,052.53 / $1,057.03	Professional		$1,052.53	$1,052.53	$1,057.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.59 / $1,296.74 / $1,296.74	Professional		$1,029.59	$1,296.74	$1,296.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,388.37 / $1,597.45 / $11,782.00	Professional		$1,388.37	$1,597.45	$11,782.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,141.13 / $1,244.86 / $1,452.35	Professional		$1,141.13	$1,244.86	$1,452.35
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 $1,058.14 / $1,296.74 / $1,687.32	Professional		$1,058.14	$1,296.74	$1,687.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $948.76 / $1,746.21	Professional		$29.27	$948.76	$1,746.21