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 $1,134.81 / $1,252.41 / $1,544.51	Professional		$1,134.81	$1,252.41	$1,544.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,283.00 / $1,577.38 / $3,250.45	Professional		$1,283.00	$1,577.38	$3,250.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,692.79 / $1,901.90 / $2,187.19	Professional		$1,692.79	$1,901.90	$2,187.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,337.61 / $1,514.28 / $1,766.66	Professional		$1,337.61	$1,514.28	$1,766.66
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 $1,241.74 / $1,577.38 / $2,296.06	Professional		$1,241.74	$1,577.38	$2,296.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,165.47 / $1,892.07	Professional		$29.27	$1,165.47	$1,892.07