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 $1,279.50 / $1,415.01 / $1,745.52	Professional		$1,279.50	$1,415.01	$1,745.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,447.49 / $1,773.89 / $3,669.50	Professional		$1,447.49	$1,773.89	$3,669.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,911.79 / $2,147.94 / $2,470.14	Professional		$1,911.79	$2,147.94	$2,470.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,504.26 / $1,702.93 / $1,986.75	Professional		$1,504.26	$1,702.93	$1,986.75
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 $1,408.64 / $1,804.23 / $2,578.53	Professional		$1,408.64	$1,804.23	$2,578.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,317.92 / $2,128.23	Professional		$29.27	$1,317.92	$2,128.23