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 $925.25 / $1,092.61 / $1,092.61	Professional		$925.25	$1,092.61	$1,092.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.88 / $1,443.03 / $1,488.63	Professional		$1,224.88	$1,443.03	$1,488.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,644.04 / $1,847.12 / $2,179.60	Professional		$1,644.04	$1,847.12	$2,179.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,269.85 / $1,385.30 / $1,616.19	Professional		$1,269.85	$1,385.30	$1,616.19
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 $1,177.51 / $1,448.54 / $1,910.34	Professional		$1,177.51	$1,448.54	$1,910.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,061.66 / $1,650.54	Professional		$29.27	$1,061.66	$1,650.54