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 $1,140.38 / $1,140.38 / $1,140.38	Professional		$1,140.38	$1,140.38	$1,140.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.73 / $1,290.73 / $1,478.05	Professional		$1,290.73	$1,290.73	$1,478.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,564.26 / $1,711.92 / $2,116.36	Professional		$1,564.26	$1,711.92	$2,116.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,135.83 / $1,239.09 / $1,445.61	Professional		$1,135.83	$1,239.09	$1,445.61
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 $1,053.23 / $1,344.23 / $1,733.34	Professional		$1,053.23	$1,344.23	$1,733.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,329.99 / $2,144.56	Professional		$29.27	$1,329.99	$2,144.56