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 $1,166.15 / $1,279.88 / $1,625.65	Professional		$1,166.15	$1,279.88	$1,625.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.52 / $1,597.45 / $2,928.99	Professional		$1,303.52	$1,597.45	$2,928.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,728.01 / $1,941.47 / $2,232.69	Professional		$1,728.01	$1,941.47	$2,232.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,354.64 / $1,533.55 / $1,789.14	Professional		$1,354.64	$1,533.55	$1,789.14
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 $1,214.45 / $1,597.45 / $2,311.57	Professional		$1,214.45	$1,597.45	$2,311.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,186.97 / $1,914.64	Professional		$29.27	$1,186.97	$1,914.64