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 $1,102.00 / $1,102.00 / $1,102.00	Professional		$1,102.00	$1,102.00	$1,102.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,212.82 / $1,563.16 / $1,875.80	Professional		$1,212.82	$1,563.16	$1,875.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,636.03 / $1,790.46 / $2,113.85	Professional		$1,636.03	$1,790.46	$2,113.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,375.58 / $1,500.64 / $1,750.74	Professional		$1,375.58	$1,500.64	$1,750.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,261.68 / $1,563.16 / $2,012.40	Professional		$1,261.68	$1,563.16	$2,012.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,210.25 / $1,916.15	Professional		$29.27	$1,210.25	$1,916.15