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 $1,244.70 / $1,244.70 / $1,244.70	Professional		$1,244.70	$1,244.70	$1,244.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.90 / $1,530.90 / $1,604.73	Professional		$1,530.90	$1,530.90	$1,604.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,710.04 / $1,871.45 / $2,313.58	Professional		$1,710.04	$1,871.45	$2,313.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,347.19 / $1,469.66 / $1,714.61	Professional		$1,347.19	$1,469.66	$1,714.61
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 $1,249.21 / $1,530.90 / $2,017.08	Professional		$1,249.21	$1,530.90	$2,017.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,451.00 / $2,063.56	Professional		$29.27	$1,451.00	$2,063.56