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 $1,342.61 / $1,342.61 / $1,342.61	Professional		$1,342.61	$1,342.61	$1,342.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,609.93 / $1,609.93 / $1,738.62	Professional		$1,609.93	$1,609.93	$1,738.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,880.32 / $2,057.80 / $2,543.96	Professional		$1,880.32	$2,057.80	$2,543.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,416.73 / $1,545.53 / $1,803.12	Professional		$1,416.73	$1,545.53	$1,803.12
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 $1,313.70 / $1,645.45 / $2,141.67	Professional		$1,313.70	$1,645.45	$2,141.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,652.71 / $2,280.04	Professional		$29.27	$1,652.71	$2,280.04