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 $1,412.07 / $1,412.07 / $1,412.07	Professional		$1,412.07	$1,412.07	$1,412.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,501.09 / $1,501.09 / $1,814.89	Professional		$1,501.09	$1,501.09	$1,814.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,811.58 / $1,982.58 / $2,450.96	Professional		$1,811.58	$1,982.58	$2,450.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,320.96 / $1,441.04 / $1,681.22	Professional		$1,320.96	$1,441.04	$1,681.22
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 $1,224.89 / $1,570.26 / $2,022.21	Professional		$1,224.89	$1,570.26	$2,022.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,647.54 / $2,472.60	Professional		$29.27	$1,647.54	$2,472.60