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 $1,120.19 / $1,120.19 / $1,120.19	Professional		$1,120.19	$1,120.19	$1,120.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,376.66 / $1,376.66 / $1,436.54	Professional		$1,376.66	$1,376.66	$1,436.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,611.87 / $1,764.02 / $2,180.77	Professional		$1,611.87	$1,764.02	$2,180.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,211.46 / $1,321.60 / $1,541.86	Professional		$1,211.46	$1,321.60	$1,541.86
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 $1,123.35 / $1,392.68 / $1,817.24	Professional		$1,123.35	$1,392.68	$1,817.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,355.00 / $1,959.76	Professional		$29.27	$1,355.00	$1,959.76