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 $1,331.26 / $1,331.26 / $1,331.26	Professional		$1,331.26	$1,331.26	$1,331.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,545.26 / $1,545.26 / $1,693.41	Professional		$1,545.26	$1,545.26	$1,693.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,872.15 / $2,160.21 / $2,446.96	Professional		$1,872.15	$2,160.21	$2,446.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,359.83 / $1,483.45 / $1,730.69	Professional		$1,359.83	$1,483.45	$1,730.69
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 $1,260.93 / $1,577.32 / $2,014.58	Professional		$1,260.93	$1,577.32	$2,014.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,541.53 / $2,128.63	Professional		$29.27	$1,541.53	$2,128.63