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 $1,183.35 / $1,214.84 / $1,214.84	Professional		$1,183.35	$1,214.84	$1,214.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,139.93 / $1,413.63 / $1,413.63	Professional		$1,139.93	$1,413.63	$1,413.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,628.81 / $1,830.02 / $2,159.42	Professional		$1,628.81	$1,830.02	$2,159.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,243.99 / $1,357.08 / $1,583.26	Professional		$1,243.99	$1,357.08	$1,583.26
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 $1,153.52 / $1,413.63 / $1,838.58	Professional		$1,153.52	$1,413.63	$1,838.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,175.59 / $1,853.45	Professional		$29.27	$1,175.59	$1,853.45