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 $1,169.06 / $1,299.76 / $1,614.84	Professional		$1,169.06	$1,299.76	$1,614.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,332.23 / $1,632.64 / $3,364.87	Professional		$1,332.23	$1,632.64	$3,364.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,757.87 / $1,975.02 / $2,271.27	Professional		$1,757.87	$1,975.02	$2,271.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,384.48 / $1,567.33 / $1,828.55	Professional		$1,384.48	$1,567.33	$1,828.55
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 $1,226.04 / $1,632.64 / $2,396.37	Professional		$1,226.04	$1,632.64	$2,396.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,201.26 / $1,922.83	Professional		$29.27	$1,201.26	$1,922.83