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 $1,170.03 / $1,170.03 / $1,859.44	Professional		$1,170.03	$1,170.03	$1,859.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.84 / $1,499.28 / $1,799.13	Professional		$1,096.84	$1,499.28	$1,799.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,516.27 / $1,659.40 / $1,959.12	Professional		$1,516.27	$1,659.40	$1,959.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,319.36 / $1,439.30 / $1,679.19	Professional		$1,319.36	$1,439.30	$1,679.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,142.44 / $1,499.28 / $1,808.52	Professional		$1,142.44	$1,499.28	$1,808.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,032.78 / $1,520.12	Professional		$29.27	$1,032.78	$1,520.12