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 $1,209.53 / $1,209.53 / $1,209.53	Professional		$1,209.53	$1,209.53	$1,209.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,320.84 / $1,320.84 / $1,573.19	Professional		$1,320.84	$1,320.84	$1,573.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,635.89 / $1,790.30 / $2,213.27	Professional		$1,635.89	$1,790.30	$2,213.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,162.33 / $1,268.00 / $1,479.34	Professional		$1,162.33	$1,268.00	$1,479.34
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 $1,077.80 / $1,443.43 / $1,868.18	Professional		$1,077.80	$1,443.43	$1,868.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,466.93 / $2,152.48	Professional		$29.27	$1,466.93	$2,152.48