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 $1,233.78 / $1,384.12 / $1,741.19	Professional		$1,233.78	$1,384.12	$1,741.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,379.64 / $1,773.58 / $3,644.83	Professional		$1,379.64	$1,773.58	$3,644.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,911.87 / $2,148.04 / $2,470.25	Professional		$1,911.87	$2,148.04	$2,470.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,503.99 / $1,702.63 / $1,986.40	Professional		$1,503.99	$1,702.63	$1,986.40
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 $1,399.58 / $1,795.65 / $2,565.65	Professional		$1,399.58	$1,795.65	$2,565.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,306.50 / $2,068.94	Professional		$29.27	$1,306.50	$2,068.94