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 $1,355.28 / $1,444.61 / $1,792.33	Professional		$1,355.28	$1,444.61	$1,792.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,418.20 / $1,822.70 / $3,780.72	Professional		$1,418.20	$1,822.70	$3,780.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,087.08 / $2,344.90 / $2,696.64	Professional		$2,087.08	$2,344.90	$2,696.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,545.65 / $1,749.79 / $2,041.42	Professional		$1,545.65	$1,749.79	$2,041.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,442.47 / $1,822.70 / $2,960.46	Professional		$1,442.47	$1,822.70	$2,960.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,339.22 / $2,086.98	Professional		$29.27	$1,339.22	$2,086.98