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 $1,409.59 / $1,409.59 / $1,409.59	Professional		$1,409.59	$1,409.59	$1,409.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,675.93 / $1,675.93 / $1,820.63	Professional		$1,675.93	$1,675.93	$1,820.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,897.29 / $2,076.38 / $2,566.92	Professional		$1,897.29	$2,076.38	$2,566.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,474.81 / $1,608.89 / $1,877.04	Professional		$1,474.81	$1,608.89	$1,877.04
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 $1,367.55 / $1,709.72 / $2,224.86	Professional		$1,367.55	$1,709.72	$2,224.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,717.40 / $2,403.89	Professional		$29.27	$1,717.40	$2,403.89