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 $1,233.33 / $1,233.33 / $1,233.33	Professional		$1,233.33	$1,233.33	$1,233.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,226.71 / $1,564.29 / $1,877.15	Professional		$1,226.71	$1,564.29	$1,877.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,662.41 / $1,819.33 / $2,147.94	Professional		$1,662.41	$1,819.33	$2,147.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,376.57 / $1,501.72 / $1,752.00	Professional		$1,376.57	$1,501.72	$1,752.00
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 $1,276.46 / $1,564.29 / $2,068.83	Professional		$1,276.46	$1,564.29	$2,068.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,136.03 / $1,710.73	Professional		$29.27	$1,136.03	$1,710.73