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 $1,164.32 / $1,164.32 / $1,164.32	Professional		$1,164.32	$1,164.32	$1,164.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,529.15 / $1,529.15 / $1,793.73	Professional		$1,529.15	$1,529.15	$1,793.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,962.21 / $2,147.42 / $2,654.75	Professional		$1,962.21	$2,147.42	$2,654.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,578.48 / $1,721.98 / $2,008.97	Professional		$1,578.48	$1,721.98	$2,008.97
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 $1,463.68 / $1,793.73 / $2,435.73	Professional		$1,463.68	$1,793.73	$2,435.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,471.39 / $2,133.89	Professional		$29.27	$1,471.39	$2,133.89