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 $1,405.70 / $1,405.70 / $1,405.70	Professional		$1,405.70	$1,405.70	$1,405.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,724.28 / $1,724.28 / $1,816.77	Professional		$1,724.28	$1,724.28	$1,816.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,969.42 / $2,155.32 / $2,664.50	Professional		$1,969.42	$2,155.32	$2,664.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,517.36 / $1,655.30 / $1,931.19	Professional		$1,517.36	$1,655.30	$1,931.19
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 $1,407.01 / $1,744.41 / $2,277.66	Professional		$1,407.01	$1,744.41	$2,277.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,757.98 / $2,539.59	Professional		$29.27	$1,757.98	$2,539.59