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 $1,205.39 / $1,205.39 / $1,205.39	Professional		$1,205.39	$1,205.39	$1,205.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,376.79 / $1,376.79 / $1,582.40	Professional		$1,376.79	$1,376.79	$1,582.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,633.18 / $1,787.34 / $2,209.60	Professional		$1,633.18	$1,787.34	$2,209.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,211.57 / $1,321.72 / $1,542.00	Professional		$1,211.57	$1,321.72	$1,542.00
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 $1,123.46 / $1,442.38 / $1,856.33	Professional		$1,123.46	$1,442.38	$1,856.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,420.58 / $1,616.13	Professional		$29.27	$1,420.58	$1,616.13