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 $1,187.04 / $1,289.55 / $1,602.24	Professional		$1,187.04	$1,289.55	$1,602.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,334.69 / $1,582.26 / $3,269.58	Professional		$1,334.69	$1,582.26	$3,269.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,801.46 / $2,023.99 / $2,327.59	Professional		$1,801.46	$2,023.99	$2,327.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,341.76 / $1,518.97 / $1,772.13	Professional		$1,341.76	$1,518.97	$1,772.13
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 $1,278.94 / $1,654.80 / $2,184.34	Professional		$1,278.94	$1,654.80	$2,184.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,295.81 / $2,093.09	Professional		$29.27	$1,295.81	$2,093.09