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 $1,151.93 / $1,287.77 / $1,585.69	Professional		$1,151.93	$1,287.77	$1,585.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.41 / $1,620.01 / $3,346.49	Professional		$1,302.41	$1,620.01	$3,346.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,740.03 / $1,954.97 / $2,248.21	Professional		$1,740.03	$1,954.97	$2,248.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,373.77 / $1,555.21 / $1,814.41	Professional		$1,373.77	$1,555.21	$1,814.41
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 $1,210.69 / $1,620.01 / $2,220.59	Professional		$1,210.69	$1,620.01	$2,220.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,189.07 / $1,815.86	Professional		$29.27	$1,189.07	$1,815.86