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 $1,254.56 / $1,254.56 / $4,853.20	Professional		$1,254.56	$1,254.56	$4,853.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.03 / $1,521.03 / $1,526.88	Professional		$1,521.03	$1,521.03	$1,526.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,874.06 / $2,014.61 / $2,425.96	Professional		$1,874.06	$2,014.61	$2,425.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,343.65 / $1,465.80 / $1,710.10	Professional		$1,343.65	$1,465.80	$1,710.10
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 $1,245.93 / $1,622.13 / $2,103.19	Professional		$1,245.93	$1,622.13	$2,103.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,159.26 / $1,732.08	Professional		$29.27	$1,159.26	$1,732.08