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 $1,176.33 / $1,256.47 / $1,256.47	Professional		$1,176.33	$1,256.47	$1,256.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,554.90 / $1,554.90 / $1,605.46	Professional		$1,554.90	$1,554.90	$1,605.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,761.63 / $1,927.90 / $2,383.38	Professional		$1,761.63	$1,927.90	$2,383.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,368.31 / $1,492.70 / $1,741.49	Professional		$1,368.31	$1,492.70	$1,741.49
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 $1,268.80 / $1,567.36 / $2,049.44	Professional		$1,268.80	$1,567.36	$2,049.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,513.65 / $2,231.61	Professional		$29.27	$1,513.65	$2,231.61