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 $1,028.32 / $1,100.39 / $1,240.98	Professional		$1,028.32	$1,100.39	$1,240.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,236.64 / $1,512.46 / $1,512.46	Professional		$1,236.64	$1,512.46	$1,512.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,600.42 / $1,798.12 / $2,121.78	Professional		$1,600.42	$1,798.12	$2,121.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,330.97 / $1,451.96 / $1,693.96	Professional		$1,330.97	$1,451.96	$1,693.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,234.17 / $1,512.46 / $1,774.94	Professional		$1,234.17	$1,512.46	$1,774.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,171.45 / $1,646.94	Professional		$29.27	$1,171.45	$1,646.94