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 $1,139.94 / $1,252.74 / $1,545.76	Professional		$1,139.94	$1,252.74	$1,545.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.25 / $1,565.34 / $3,254.20	Professional		$1,295.25	$1,565.34	$3,254.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,686.03 / $1,894.30 / $2,178.44	Professional		$1,686.03	$1,894.30	$2,178.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,327.41 / $1,502.72 / $1,753.18	Professional		$1,327.41	$1,502.72	$1,753.18
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 $1,247.71 / $1,587.08 / $2,286.12	Professional		$1,247.71	$1,587.08	$2,286.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,201.98 / $1,933.28	Professional		$29.27	$1,201.98	$1,933.28