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 $1,343.84 / $1,343.85 / $1,343.85	Professional		$1,343.84	$1,343.85	$1,343.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,623.45 / $1,623.45 / $1,733.24	Professional		$1,623.45	$1,623.45	$1,733.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,879.64 / $2,057.06 / $2,543.04	Professional		$1,879.64	$2,057.06	$2,543.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,428.64 / $1,558.51 / $1,818.26	Professional		$1,428.64	$1,558.51	$1,818.26
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 $1,324.74 / $1,656.32 / $2,159.16	Professional		$1,324.74	$1,656.32	$2,159.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,494.24 / $2,160.23	Professional		$29.27	$1,494.24	$2,160.23