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 $1,071.97 / $1,246.15 / $1,246.15	Professional		$1,071.97	$1,246.15	$1,246.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,415.36 / $1,753.66 / $1,753.66	Professional		$1,415.36	$1,753.66	$1,753.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,853.42 / $2,082.37 / $2,457.19	Professional		$1,853.42	$2,082.37	$2,457.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,543.22 / $1,683.52 / $1,964.10	Professional		$1,543.22	$1,683.52	$1,964.10
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 $1,652.03 / $1,794.30 / $2,216.21	Professional		$1,652.03	$1,794.30	$2,216.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,325.48 / $2,108.85	Professional		$29.27	$1,325.48	$2,108.85