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 $1,102.18 / $1,102.18 / $1,289.47	Professional		$1,102.18	$1,102.18	$1,289.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,283.41 / $1,537.05 / $1,537.05	Professional		$1,283.41	$1,537.05	$1,537.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,627.15 / $1,828.15 / $2,157.21	Professional		$1,627.15	$1,828.15	$2,157.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,352.60 / $1,475.57 / $1,721.50	Professional		$1,352.60	$1,475.57	$1,721.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,254.23 / $1,537.05 / $1,962.44	Professional		$1,254.23	$1,537.05	$1,962.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,233.74 / $1,674.43	Professional		$29.27	$1,233.74	$1,674.43