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 $1,038.33 / $1,167.57 / $1,167.57	Professional		$1,038.33	$1,167.57	$1,167.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,276.99 / $1,595.33 / $1,595.33	Professional		$1,276.99	$1,595.33	$1,595.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,694.87 / $1,904.24 / $2,247.00	Professional		$1,694.87	$1,904.24	$2,247.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,403.89 / $1,531.51 / $1,786.76	Professional		$1,403.89	$1,531.51	$1,786.76
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 $1,301.79 / $1,595.33 / $2,052.41	Professional		$1,301.79	$1,595.33	$2,052.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,553.38 / $1,992.49	Professional		$29.27	$1,553.38	$1,992.49