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 $1,080.43 / $1,080.43 / $1,080.43	Professional		$1,080.43	$1,080.43	$1,080.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.15 / $1,311.15 / $1,395.95	Professional		$1,311.15	$1,311.15	$1,395.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,506.59 / $1,648.80 / $2,038.33	Professional		$1,506.59	$1,648.80	$2,038.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,153.81 / $1,258.70 / $1,468.49	Professional		$1,153.81	$1,258.70	$1,468.49
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 $1,069.90 / $1,311.15 / $1,734.51	Professional		$1,069.90	$1,311.15	$1,734.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,251.30 / $1,788.72	Professional		$29.27	$1,251.30	$1,788.72