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 $1,324.78 / $1,324.78 / $1,324.78	Professional		$1,324.78	$1,324.78	$1,324.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.74 / $1,496.74 / $1,732.90	Professional		$1,496.74	$1,496.74	$1,732.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,916.52 / $2,097.42 / $2,592.94	Professional		$1,916.52	$2,097.42	$2,592.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,317.13 / $1,436.87 / $1,676.35	Professional		$1,317.13	$1,436.87	$1,676.35
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 $1,221.33 / $1,564.11 / $2,014.50	Professional		$1,221.33	$1,564.11	$2,014.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,618.73 / $2,428.94	Professional		$29.27	$1,618.73	$2,428.94