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 $1,407.45 / $1,407.45 / $1,407.45	Professional		$1,407.45	$1,407.45	$1,407.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,578.78 / $1,578.78 / $1,840.20	Professional		$1,578.78	$1,578.78	$1,840.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,905.87 / $2,085.77 / $2,578.53	Professional		$1,905.87	$2,085.77	$2,578.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,389.32 / $1,515.62 / $1,768.23	Professional		$1,389.32	$1,515.62	$1,768.23
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 $1,288.28 / $1,651.96 / $2,127.09	Professional		$1,288.28	$1,651.96	$2,127.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,731.73 / $2,581.89	Professional		$29.27	$1,731.73	$2,581.89