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 $1,310.95 / $1,310.95 / $1,310.95	Professional		$1,310.95	$1,310.95	$1,310.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,574.94 / $1,574.94 / $1,683.84	Professional		$1,574.94	$1,574.94	$1,683.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,807.46 / $1,978.06 / $2,445.38	Professional		$1,807.46	$1,978.06	$2,445.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,385.95 / $1,511.94 / $1,763.93	Professional		$1,385.95	$1,511.94	$1,763.93
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 $1,285.15 / $1,587.59 / $2,075.42	Professional		$1,285.15	$1,587.59	$2,075.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,603.21 / $2,341.44	Professional		$29.27	$1,603.21	$2,341.44