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 $1,331.70 / $1,456.52 / $1,812.01	Professional		$1,331.70	$1,456.52	$1,812.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.55 / $1,826.80 / $3,787.60	Professional		$1,506.55	$1,826.80	$3,787.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,964.24 / $2,206.88 / $2,537.91	Professional		$1,964.24	$2,206.88	$2,537.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,549.13 / $1,753.73 / $2,046.02	Professional		$1,549.13	$1,753.73	$2,046.02
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 $1,379.81 / $1,826.80 / $2,513.89	Professional		$1,379.81	$1,826.80	$2,513.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,395.47 / $2,266.85	Professional		$29.27	$1,395.47	$2,266.85