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 $1,305.43 / $1,411.60 / $1,742.90	Professional		$1,305.43	$1,411.60	$1,742.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,410.87 / $1,729.01 / $3,553.82	Professional		$1,410.87	$1,729.01	$3,553.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,925.18 / $2,163.00 / $2,487.44	Professional		$1,925.18	$2,163.00	$2,487.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,466.20 / $1,659.85 / $1,936.49	Professional		$1,466.20	$1,659.85	$1,936.49
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 $1,367.76 / $1,729.01 / $2,543.09	Professional		$1,367.76	$1,729.01	$2,543.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,270.31 / $2,066.64	Professional		$29.27	$1,270.31	$2,066.64