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 $1,342.67 / $1,342.67 / $1,342.67	Professional		$1,342.67	$1,342.67	$1,342.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,642.71 / $1,642.71 / $1,736.53	Professional		$1,642.71	$1,642.71	$1,736.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,852.62 / $2,027.49 / $2,506.48	Professional		$1,852.62	$2,027.49	$2,506.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.59 / $1,577.00 / $1,839.84	Professional		$1,445.59	$1,577.00	$1,839.84
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 $1,340.45 / $1,664.99 / $2,173.17	Professional		$1,340.45	$1,664.99	$2,173.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,677.06 / $2,388.46	Professional		$29.27	$1,677.06	$2,388.46