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 $1,120.00 / $1,217.47 / $1,494.77	Professional		$1,120.00	$1,217.47	$1,494.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.21 / $1,530.90 / $3,149.62	Professional		$1,249.21	$1,530.90	$3,149.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,648.57 / $1,852.21 / $2,130.04	Professional		$1,648.57	$1,852.21	$2,130.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,298.20 / $1,469.66 / $1,714.61	Professional		$1,298.20	$1,469.66	$1,714.61
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 $1,161.82 / $1,530.90 / $2,130.03	Professional		$1,161.82	$1,530.90	$2,130.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,126.57 / $1,825.65	Professional		$29.27	$1,126.57	$1,825.65