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 $1,002.85 / $1,202.23 / $1,915.09	Professional		$1,002.85	$1,202.23	$1,915.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.46 / $1,565.06 / $1,642.43	Professional		$1,327.46	$1,565.06	$1,642.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,820.59 / $2,045.49 / $2,413.67	Professional		$1,820.59	$2,045.49	$2,413.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,377.26 / $1,502.46 / $1,752.87	Professional		$1,377.26	$1,502.46	$1,752.87
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 $1,277.08 / $1,628.18 / $2,070.57	Professional		$1,277.08	$1,628.18	$2,070.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,359.35 / $2,167.44	Professional		$29.27	$1,359.35	$2,167.44