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 $1,279.86 / $1,279.86 / $1,467.53	Professional		$1,279.86	$1,279.86	$1,467.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,460.75 / $1,736.13 / $1,736.13	Professional		$1,460.75	$1,736.13	$1,736.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,860.25 / $2,090.05 / $2,466.26	Professional		$1,860.25	$2,090.05	$2,466.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,527.79 / $1,666.68 / $1,944.46	Professional		$1,527.79	$1,666.68	$1,944.46
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 $1,416.68 / $1,736.13 / $2,224.86	Professional		$1,416.68	$1,736.13	$2,224.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,363.40 / $1,890.69	Professional		$29.27	$1,363.40	$1,890.69