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 $1,255.69 / $1,311.02 / $1,311.02	Professional		$1,255.69	$1,311.02	$1,311.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,209.11 / $1,505.78 / $1,505.78	Professional		$1,209.11	$1,505.78	$1,505.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,725.96 / $1,939.17 / $2,288.21	Professional		$1,725.96	$1,939.17	$2,288.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,325.08 / $1,445.54 / $1,686.47	Professional		$1,325.08	$1,445.54	$1,686.47
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 $1,228.71 / $1,505.78 / $1,953.02	Professional		$1,228.71	$1,505.78	$1,953.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,224.28 / $1,917.05	Professional		$29.27	$1,224.28	$1,917.05