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 $1,121.68 / $1,121.68 / $1,171.98	Professional		$1,121.68	$1,121.68	$1,171.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.43 / $1,489.21 / $1,489.21	Professional		$1,153.43	$1,489.21	$1,489.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,531.62 / $1,762.27 / $8,902.00	Professional		$1,531.62	$1,762.27	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,310.51 / $1,429.64 / $1,667.92	Professional		$1,310.51	$1,429.64	$1,667.92
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 $1,215.20 / $1,489.21 / $1,856.06	Professional		$1,215.20	$1,489.21	$1,856.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,046.65 / $1,871.36	Professional		$29.27	$1,046.65	$1,871.36