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 $1,212.83 / $1,318.10 / $1,627.59	Professional		$1,212.83	$1,318.10	$1,627.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,355.56 / $1,661.23 / $3,341.65	Professional		$1,355.56	$1,661.23	$3,341.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,765.83 / $1,983.97 / $2,281.57	Professional		$1,765.83	$1,983.97	$2,281.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,408.72 / $1,594.78 / $1,860.57	Professional		$1,408.72	$1,594.78	$1,860.57
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 $1,299.49 / $1,661.23 / $2,273.87	Professional		$1,299.49	$1,661.23	$2,273.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,236.24 / $1,999.45	Professional		$29.27	$1,236.24	$1,999.45