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 $1,209.76 / $1,209.76 / $1,380.11	Professional		$1,209.76	$1,209.76	$1,380.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,373.27 / $1,644.65 / $1,644.65	Professional		$1,373.27	$1,644.65	$1,644.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,738.95 / $1,953.76 / $2,305.44	Professional		$1,738.95	$1,953.76	$2,305.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,447.29 / $1,578.86 / $1,842.01	Professional		$1,447.29	$1,578.86	$1,842.01
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 $1,342.03 / $1,644.65 / $2,098.73	Professional		$1,342.03	$1,644.65	$2,098.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,287.26 / $1,789.49	Professional		$29.27	$1,287.26	$1,789.49