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 $1,129.54 / $1,260.56 / $1,546.48	Professional		$1,129.54	$1,260.56	$1,546.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.46 / $1,583.90 / $3,260.61	Professional		$1,292.46	$1,583.90	$3,260.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,705.62 / $1,916.31 / $2,203.76	Professional		$1,705.62	$1,916.31	$2,203.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,343.15 / $1,520.54 / $1,773.97	Professional		$1,343.15	$1,520.54	$1,773.97
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 $1,254.27 / $1,583.90 / $2,166.21	Professional		$1,254.27	$1,583.90	$2,166.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,165.55 / $1,863.85	Professional		$29.27	$1,165.55	$1,863.85