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 $1,426.38 / $1,562.80 / $1,942.50	Professional		$1,426.38	$1,562.80	$1,942.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,591.64 / $1,984.84 / $4,093.23	Professional		$1,591.64	$1,984.84	$4,093.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,131.71 / $2,395.04 / $2,754.30	Professional		$2,131.71	$2,395.04	$2,754.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,683.14 / $1,905.44 / $2,223.02	Professional		$1,683.14	$1,905.44	$2,223.02
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 $1,539.26 / $1,984.84 / $2,837.52	Professional		$1,539.26	$1,984.84	$2,837.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,473.84 / $2,368.23	Professional		$29.27	$1,473.84	$2,368.23