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 $1,106.72 / $1,340.58 / $1,340.58	Professional		$1,106.72	$1,340.58	$1,340.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,463.39 / $1,736.56 / $1,821.93	Professional		$1,463.39	$1,736.56	$1,821.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,974.52 / $2,218.42 / $2,617.75	Professional		$1,974.52	$2,218.42	$2,617.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,528.18 / $1,667.10 / $1,944.95	Professional		$1,528.18	$1,667.10	$1,944.95
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 $1,417.04 / $1,793.72 / $2,286.86	Professional		$1,417.04	$1,793.72	$2,286.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,739.57 / $2,364.21	Professional		$29.27	$1,739.57	$2,364.21