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 $1,352.87 / $1,352.87 / $1,538.66	Professional		$1,352.87	$1,352.87	$1,538.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,533.56 / $1,837.33 / $1,837.33	Professional		$1,533.56	$1,837.33	$1,837.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,960.34 / $2,202.50 / $2,598.94	Professional		$1,960.34	$2,202.50	$2,598.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,616.85 / $1,763.83 / $2,057.80	Professional		$1,616.85	$1,763.83	$2,057.80
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 $1,499.26 / $1,837.33 / $2,353.94	Professional		$1,499.26	$1,837.33	$2,353.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,428.96 / $2,003.60	Professional		$29.27	$1,428.96	$2,003.60