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 $1,514.47 / $1,528.68 / $2,255.96	Professional		$1,514.47	$1,528.68	$2,255.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,439.83 / $1,806.89 / $2,168.27	Professional		$1,439.83	$1,806.89	$2,168.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,940.68 / $2,180.41 / $9,474.00	Professional		$1,940.68	$2,180.41	$9,474.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,590.06 / $1,734.61 / $2,023.71	Professional		$1,590.06	$1,734.61	$2,023.71
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 $1,474.42 / $1,806.89 / $2,361.83	Professional		$1,474.42	$1,806.89	$2,361.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,534.56 / $1,984.65	Professional		$29.27	$1,534.56	$1,984.65