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 $1,316.50 / $1,316.50 / $1,316.50	Professional		$1,316.50	$1,316.50	$1,316.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,390.06 / $1,390.06 / $1,699.18	Professional		$1,390.06	$1,390.06	$1,699.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,672.94 / $1,830.85 / $2,263.38	Professional		$1,672.94	$1,830.85	$2,263.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,223.26 / $1,334.46 / $1,556.87	Professional		$1,223.26	$1,334.46	$1,556.87
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 $1,134.29 / $1,450.72 / $1,869.23	Professional		$1,134.29	$1,450.72	$1,869.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,505.47 / $2,236.28	Professional		$29.27	$1,505.47	$2,236.28