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 $1,030.48 / $1,237.85 / $1,237.85	Professional		$1,030.48	$1,237.85	$1,237.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,362.60 / $1,623.13 / $1,684.71	Professional		$1,362.60	$1,623.13	$1,684.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,835.91 / $2,062.69 / $2,433.98	Professional		$1,835.91	$2,062.69	$2,433.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,428.35 / $1,558.20 / $1,817.90	Professional		$1,428.35	$1,558.20	$1,817.90
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 $1,324.47 / $1,663.85 / $2,134.67	Professional		$1,324.47	$1,663.85	$2,134.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,598.59 / $2,297.91	Professional		$29.27	$1,598.59	$2,297.91