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 $1,153.27 / $1,254.33 / $1,557.34	Professional		$1,153.27	$1,254.33	$1,557.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.47 / $1,550.74 / $3,172.26	Professional		$1,296.47	$1,550.74	$3,172.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,758.49 / $1,975.71 / $2,272.07	Professional		$1,758.49	$1,975.71	$2,272.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,315.03 / $1,488.71 / $1,736.83	Professional		$1,315.03	$1,488.71	$1,736.83
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 $1,222.57 / $1,562.17 / $2,131.07	Professional		$1,222.57	$1,562.17	$2,131.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,344.71 / $2,138.92	Professional		$29.27	$1,344.71	$2,138.92