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 $1,242.30 / $1,242.30 / $1,242.30	Professional		$1,242.30	$1,242.30	$1,242.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,379.68 / $1,379.68 / $1,613.83	Professional		$1,379.68	$1,379.68	$1,613.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,693.24 / $1,853.07 / $2,290.86	Professional		$1,693.24	$1,853.07	$2,290.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,214.10 / $1,324.49 / $1,545.24	Professional		$1,214.10	$1,324.49	$1,545.24
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 $1,125.81 / $1,439.41 / $1,854.74	Professional		$1,125.81	$1,439.41	$1,854.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,492.54 / $2,232.44	Professional		$29.27	$1,492.54	$2,232.44