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 $1,092.15 / $1,092.15 / $1,166.99	Professional		$1,092.15	$1,092.15	$1,166.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.09 / $1,800.75 / $1,800.75	Professional		$1,115.09	$1,800.75	$1,800.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,794.80 / $2,016.51 / $2,379.48	Professional		$1,794.80	$2,016.51	$2,379.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.66 / $1,728.72 / $2,016.84	Professional		$1,584.66	$1,728.72	$2,016.84
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 $1,469.41 / $1,800.75 / $2,292.17	Professional		$1,469.41	$1,800.75	$2,292.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,302.04 / $1,945.40	Professional		$29.27	$1,302.04	$1,945.40