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 $1,392.69 / $1,392.69 / $1,392.69	Professional		$1,392.69	$1,392.69	$1,392.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,358.42 / $1,743.04 / $2,091.65	Professional		$1,358.42	$1,743.04	$2,091.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,842.31 / $2,016.21 / $2,380.37	Professional		$1,842.31	$2,016.21	$2,380.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,533.87 / $1,673.32 / $1,952.20	Professional		$1,533.87	$1,673.32	$1,952.20
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 $1,399.03 / $1,743.04 / $2,210.48	Professional		$1,399.03	$1,743.04	$2,210.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,258.97 / $1,895.86	Professional		$29.27	$1,258.97	$1,895.86