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 $1,501.35 / $1,501.35 / $1,591.06	Professional		$1,501.35	$1,501.35	$1,591.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,524.09 / $1,768.60 / $1,768.60	Professional		$1,524.09	$1,768.60	$1,768.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,907.48 / $2,143.11 / $2,528.87	Professional		$1,907.48	$2,143.11	$2,528.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,556.37 / $1,697.86 / $1,980.83	Professional		$1,556.37	$1,697.86	$1,980.83
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 $1,443.18 / $1,768.60 / $2,310.63	Professional		$1,443.18	$1,768.60	$2,310.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,377.90 / $2,117.69	Professional		$29.27	$1,377.90	$2,117.69