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 $1,229.94 / $1,229.94 / $1,229.94	Professional		$1,229.94	$1,229.94	$1,229.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.94 / $1,341.94 / $1,591.41	Professional		$1,341.94	$1,341.94	$1,591.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,701.18 / $1,861.76 / $2,301.60	Professional		$1,701.18	$1,861.76	$2,301.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,180.91 / $1,288.26 / $1,502.97	Professional		$1,180.91	$1,288.26	$1,502.97
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 $1,095.02 / $1,498.35 / $1,946.85	Professional		$1,095.02	$1,498.35	$1,946.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,493.42 / $2,211.08	Professional		$29.27	$1,493.42	$2,211.08