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 $1,227.49 / $1,227.49 / $1,227.49	Professional		$1,227.49	$1,227.49	$1,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,264.66 / $1,264.66 / $1,580.69	Professional		$1,264.66	$1,264.66	$1,580.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,626.23 / $1,779.74 / $2,200.19	Professional		$1,626.23	$1,779.74	$2,200.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,112.90 / $1,214.08 / $1,416.42	Professional		$1,112.90	$1,214.08	$1,416.42
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 $1,031.96 / $1,324.91 / $1,705.70	Professional		$1,031.96	$1,324.91	$1,705.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,404.48 / $2,128.98	Professional		$29.27	$1,404.48	$2,128.98