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 $1,087.34 / $1,087.34 / $1,246.13	Professional		$1,087.34	$1,087.34	$1,246.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,236.95 / $1,496.53 / $1,496.53	Professional		$1,236.95	$1,496.53	$1,496.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,575.36 / $1,812.60 / $8,902.00	Professional		$1,575.36	$1,812.60	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,316.94 / $1,436.66 / $1,676.11	Professional		$1,316.94	$1,436.66	$1,676.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,221.16 / $1,496.53 / $1,895.09	Professional		$1,221.16	$1,496.53	$1,895.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,086.72 / $1,621.15	Professional		$29.27	$1,086.72	$1,621.15