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 $1,106.11 / $1,225.83 / $1,512.44	Professional		$1,106.11	$1,225.83	$1,512.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,261.84 / $1,546.39 / $3,183.44	Professional		$1,261.84	$1,546.39	$3,183.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,659.89 / $1,864.93 / $2,144.67	Professional		$1,659.89	$1,864.93	$2,144.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,311.34 / $1,484.53 / $1,731.95	Professional		$1,311.34	$1,484.53	$1,731.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,222.14 / $1,605.70 / $2,519.25	Professional		$1,222.14	$1,605.70	$2,519.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,147.05 / $1,834.82	Professional		$29.27	$1,147.05	$1,834.82