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 $1,333.73 / $1,333.73 / $1,333.73	Professional		$1,333.73	$1,333.73	$1,333.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.40 / $1,412.40 / $1,721.95	Professional		$1,412.40	$1,412.40	$1,721.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,690.39 / $1,849.95 / $2,286.98	Professional		$1,690.39	$1,849.95	$2,286.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,242.91 / $1,355.90 / $1,581.89	Professional		$1,242.91	$1,355.90	$1,581.89
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 $1,152.52 / $1,473.10 / $1,898.09	Professional		$1,152.52	$1,473.10	$1,898.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,528.64 / $2,223.52	Professional		$29.27	$1,528.64	$2,223.52