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 $898.66 / $1,083.67 / $1,083.67	Professional		$898.66	$1,083.67	$1,083.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,175.96 / $1,489.36 / $1,489.36	Professional		$1,175.96	$1,489.36	$1,489.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,535.90 / $1,725.63 / $2,036.24	Professional		$1,535.90	$1,725.63	$2,036.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,310.64 / $1,429.79 / $1,668.09	Professional		$1,310.64	$1,429.79	$1,668.09
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 $1,215.32 / $1,489.36 / $1,897.74	Professional		$1,215.32	$1,489.36	$1,897.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,244.31 / $1,965.73	Professional		$29.27	$1,244.31	$1,965.73