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 $1,300.74 / $1,300.74 / $1,300.74	Professional		$1,300.74	$1,300.74	$1,300.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,554.51 / $1,554.51 / $1,666.01	Professional		$1,554.51	$1,554.51	$1,666.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,796.36 / $1,965.92 / $2,430.36	Professional		$1,796.36	$1,965.92	$2,430.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,367.97 / $1,492.33 / $1,741.05	Professional		$1,367.97	$1,492.33	$1,741.05
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 $1,268.48 / $1,587.42 / $2,069.13	Professional		$1,268.48	$1,587.42	$2,069.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,593.13 / $2,427.98	Professional		$29.27	$1,593.13	$2,427.98