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 $1,397.89 / $1,397.89 / $1,397.89	Professional		$1,397.89	$1,397.89	$1,397.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,705.28 / $1,705.28 / $1,804.98	Professional		$1,705.28	$1,705.28	$1,804.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,963.81 / $2,149.17 / $2,656.91	Professional		$1,963.81	$2,149.17	$2,656.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,500.64 / $1,637.06 / $1,909.91	Professional		$1,500.64	$1,637.06	$1,909.91
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 $1,391.50 / $1,705.28 / $2,260.38	Professional		$1,391.50	$1,705.28	$2,260.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,745.50 / $2,477.88	Professional		$29.27	$1,745.50	$2,477.88