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 $1,461.65 / $1,461.65 / $1,668.36	Professional		$1,461.65	$1,461.65	$1,668.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,661.48 / $1,989.79 / $1,989.79	Professional		$1,661.48	$1,989.79	$1,989.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,133.96 / $2,397.57 / $2,829.13	Professional		$2,133.96	$2,397.57	$2,829.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,751.01 / $1,910.20 / $2,228.56	Professional		$1,751.01	$1,910.20	$2,228.56
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 $1,623.67 / $1,989.79 / $2,542.37	Professional		$1,623.67	$1,989.79	$2,542.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,516.81 / $2,170.37	Professional		$29.27	$1,516.81	$2,170.37