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 $1,425.02 / $1,521.49 / $1,929.14	Professional		$1,425.02	$1,521.49	$1,929.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.33 / $1,945.55 / $3,892.86	Professional		$1,581.33	$1,945.55	$3,892.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,177.12 / $2,446.06 / $2,812.97	Professional		$2,177.12	$2,446.06	$2,812.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,556.06 / $1,761.58 / $2,055.17	Professional		$1,556.06	$1,761.58	$2,055.17
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 $1,497.34 / $1,916.20 / $2,758.72	Professional		$1,497.34	$1,916.20	$2,758.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,772.09 / $2,814.19	Professional		$29.27	$1,772.09	$2,814.19