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 $1,181.27 / $1,239.83 / $1,252.63	Professional		$1,181.27	$1,239.83	$1,252.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.74 / $1,416.58 / $1,416.58	Professional		$1,142.74	$1,416.58	$1,416.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,648.99 / $1,852.69 / $2,186.17	Professional		$1,648.99	$1,852.69	$2,186.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,246.58 / $1,359.91 / $1,586.56	Professional		$1,246.58	$1,359.91	$1,586.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,416.58 / $1,502.43 / $1,851.92	Professional		$1,416.58	$1,502.43	$1,851.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,150.25 / $1,842.36	Professional		$29.27	$1,150.25	$1,842.36