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 $1,267.96 / $1,267.96 / $1,267.96	Professional		$1,267.96	$1,267.96	$1,267.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.89 / $1,675.73 / $2,010.87	Professional		$1,305.89	$1,675.73	$2,010.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,770.22 / $1,937.31 / $2,287.21	Professional		$1,770.22	$1,937.31	$2,287.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,474.64 / $1,608.70 / $1,876.81	Professional		$1,474.64	$1,608.70	$1,876.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,367.39 / $1,675.73 / $2,132.94	Professional		$1,367.39	$1,675.73	$2,132.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,292.26 / $1,821.67	Professional		$29.27	$1,292.26	$1,821.67