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 $1,301.50 / $1,418.87 / $1,768.09	Professional		$1,301.50	$1,418.87	$1,768.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.36 / $1,717.35 / $3,595.42	Professional		$1,401.36	$1,717.35	$3,595.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,956.21 / $2,197.86 / $2,646.63	Professional		$1,956.21	$2,197.86	$2,646.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,456.31 / $1,648.66 / $1,923.43	Professional		$1,456.31	$1,648.66	$1,923.43
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 $1,381.76 / $1,717.35 / $2,558.07	Professional		$1,381.76	$1,717.35	$2,558.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,266.93 / $1,892.95	Professional		$29.27	$1,266.93	$1,892.95