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 $1,090.03 / $1,090.03 / $1,090.03	Professional		$1,090.03	$1,090.03	$1,090.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.46 / $1,133.46 / $1,397.94	Professional		$1,133.46	$1,133.46	$1,397.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,452.29 / $1,589.37 / $1,964.87	Professional		$1,452.29	$1,589.37	$1,964.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $997.45 / $1,088.11 / $1,269.48	Professional		$997.45	$1,088.11	$1,269.48
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 $924.91 / $1,176.72 / $1,519.11	Professional		$924.91	$1,176.72	$1,519.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,167.23 / $1,842.73	Professional		$29.27	$1,167.23	$1,842.73