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 $1,219.58 / $1,219.58 / $1,219.58	Professional		$1,219.58	$1,219.58	$1,219.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.63 / $1,461.63 / $1,566.74	Professional		$1,461.63	$1,461.63	$1,566.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,650.54 / $1,806.33 / $2,233.08	Professional		$1,650.54	$1,806.33	$2,233.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,286.23 / $1,403.16 / $1,637.02	Professional		$1,286.23	$1,403.16	$1,637.02
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 $1,192.69 / $1,474.92 / $1,927.62	Professional		$1,192.69	$1,474.92	$1,927.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,484.50 / $2,120.94	Professional		$29.27	$1,484.50	$2,120.94