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 $1,320.55 / $1,338.10 / $1,338.10	Professional		$1,320.55	$1,338.10	$1,338.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.78 / $1,599.10 / $1,611.21	Professional		$1,300.78	$1,599.10	$1,611.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,873.56 / $2,105.00 / $2,483.90	Professional		$1,873.56	$2,105.00	$2,483.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,407.21 / $1,535.14 / $1,790.99	Professional		$1,407.21	$1,535.14	$1,790.99
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 $1,304.86 / $1,599.10 / $2,086.88	Professional		$1,304.86	$1,599.10	$2,086.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,148.05 / $2,120.81	Professional		$29.27	$1,148.05	$2,120.81