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 $1,392.98 / $1,392.98 / $1,392.98	Professional		$1,392.98	$1,392.98	$1,392.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,505.28 / $1,505.28 / $1,811.50	Professional		$1,505.28	$1,505.28	$1,811.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,804.69 / $1,975.05 / $2,441.65	Professional		$1,804.69	$1,975.05	$2,441.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,324.64 / $1,445.06 / $1,685.91	Professional		$1,324.64	$1,445.06	$1,685.91
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 $1,228.30 / $1,568.97 / $2,021.81	Professional		$1,228.30	$1,568.97	$2,021.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,548.14 / $1,968.36	Professional		$29.27	$1,548.14	$1,968.36