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 $1,239.86 / $1,287.18 / $1,287.18	Professional		$1,239.86	$1,287.18	$1,287.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.61 / $1,479.40 / $1,479.40	Professional		$1,194.61	$1,479.40	$1,479.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,737.52 / $1,952.15 / $2,303.54	Professional		$1,737.52	$1,952.15	$2,303.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,301.86 / $1,420.22 / $1,656.93	Professional		$1,301.86	$1,420.22	$1,656.93
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 $1,207.19 / $1,479.40 / $1,925.94	Professional		$1,207.19	$1,479.40	$1,925.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,132.41 / $1,808.85	Professional		$29.27	$1,132.41	$1,808.85