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 $1,266.58 / $1,355.64 / $1,355.64	Professional		$1,266.58	$1,355.64	$1,355.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,656.51 / $1,656.51 / $1,748.95	Professional		$1,656.51	$1,656.51	$1,748.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,914.64 / $2,095.37 / $2,590.40	Professional		$1,914.64	$2,095.37	$2,590.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,457.73 / $1,590.25 / $1,855.29	Professional		$1,457.73	$1,590.25	$1,855.29
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 $1,351.71 / $1,656.51 / $2,186.78	Professional		$1,351.71	$1,656.51	$2,186.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,688.66 / $2,457.14	Professional		$29.27	$1,688.66	$2,457.14