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 $1,297.78 / $1,297.78 / $1,297.78	Professional		$1,297.78	$1,297.78	$1,297.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,572.88 / $1,572.88 / $1,650.49	Professional		$1,572.88	$1,572.88	$1,650.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,788.58 / $1,957.40 / $2,419.84	Professional		$1,788.58	$1,957.40	$2,419.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,384.13 / $1,509.96 / $1,761.62	Professional		$1,384.13	$1,509.96	$1,761.62
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 $1,283.47 / $1,572.88 / $2,066.75	Professional		$1,283.47	$1,572.88	$2,066.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,468.31 / $2,135.32	Professional		$29.27	$1,468.31	$2,135.32