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 $1,097.71 / $1,185.71 / $1,871.43	Professional		$1,097.71	$1,185.71	$1,871.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.53 / $1,539.63 / $3,147.46	Professional		$1,179.53	$1,539.63	$3,147.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,652.95 / $1,857.14 / $2,135.71	Professional		$1,652.95	$1,857.14	$2,135.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,305.59 / $1,478.04 / $1,724.38	Professional		$1,305.59	$1,478.04	$1,724.38
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 $1,200.16 / $1,749.96 / $2,629.93	Professional		$1,200.16	$1,749.96	$2,629.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,129.57 / $1,725.78	Professional		$29.27	$1,129.57	$1,725.78