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 $1,182.26 / $1,276.89 / $1,585.60	Professional		$1,182.26	$1,276.89	$1,585.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.72 / $1,604.69 / $3,301.26	Professional		$1,291.72	$1,604.69	$3,301.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,726.88 / $1,940.20 / $2,231.23	Professional		$1,726.88	$1,940.20	$2,231.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,360.78 / $1,540.50 / $1,797.25	Professional		$1,360.78	$1,540.50	$1,797.25
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 $1,126.94 / $1,604.69 / $2,194.78	Professional		$1,126.94	$1,604.69	$2,194.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,180.08 / $1,891.65	Professional		$29.27	$1,180.08	$1,891.65