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 $1,240.66 / $1,240.66 / $1,240.66	Professional		$1,240.66	$1,240.66	$1,240.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,387.08 / $1,387.08 / $1,621.97	Professional		$1,387.08	$1,387.08	$1,621.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,648.71 / $1,804.33 / $2,230.61	Professional		$1,648.71	$1,804.33	$2,230.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,220.63 / $1,331.59 / $1,553.52	Professional		$1,220.63	$1,331.59	$1,553.52
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 $1,131.84 / $1,453.47 / $1,870.62	Professional		$1,131.84	$1,453.47	$1,870.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,540.92 / $2,259.67	Professional		$29.27	$1,540.92	$2,259.67