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 $1,084.33 / $1,232.74 / $1,513.74	Professional		$1,084.33	$1,232.74	$1,513.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.43 / $1,585.93 / $3,152.07	Professional		$1,248.43	$1,585.93	$3,152.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,677.03 / $1,884.20 / $2,166.83	Professional		$1,677.03	$1,884.20	$2,166.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,344.86 / $1,522.49 / $1,776.24	Professional		$1,344.86	$1,522.49	$1,776.24
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 $1,134.44 / $1,585.93 / $2,515.37	Professional		$1,134.44	$1,585.93	$2,515.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,146.02 / $1,725.77	Professional		$29.27	$1,146.02	$1,725.77