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 $1,318.49 / $1,318.49 / $1,318.49	Professional		$1,318.49	$1,318.49	$1,318.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,594.61 / $1,594.61 / $1,701.80	Professional		$1,594.61	$1,594.61	$1,701.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,848.84 / $2,023.35 / $2,501.37	Professional		$1,848.84	$2,023.35	$2,501.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,403.26 / $1,530.83 / $1,785.97	Professional		$1,403.26	$1,530.83	$1,785.97
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 $1,301.20 / $1,610.26 / $2,099.44	Professional		$1,301.20	$1,610.26	$2,099.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $221.33 / $1,632.32 / $1,756.82	Professional		$221.33	$1,632.32	$1,756.82