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 $1,243.60 / $1,335.32 / $1,658.82	Professional		$1,243.60	$1,335.32	$1,658.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,368.43 / $1,677.00 / $3,464.81	Professional		$1,368.43	$1,677.00	$3,464.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,800.73 / $2,023.17 / $2,326.65	Professional		$1,800.73	$2,023.17	$2,326.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,422.10 / $1,609.92 / $1,878.24	Professional		$1,422.10	$1,609.92	$1,878.24
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 $1,334.27 / $1,907.10 / $3,058.45	Professional		$1,334.27	$1,907.10	$3,058.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,250.15 / $2,030.17	Professional		$29.27	$1,250.15	$2,030.17