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 $1,308.02 / $1,308.02 / $1,308.02	Professional		$1,308.02	$1,308.02	$1,308.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,485.89 / $1,485.89 / $1,698.29	Professional		$1,485.89	$1,485.89	$1,698.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,805.11 / $1,975.50 / $2,442.21	Professional		$1,805.11	$1,975.50	$2,442.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,307.58 / $1,426.45 / $1,664.19	Professional		$1,307.58	$1,426.45	$1,664.19
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 $1,212.48 / $1,553.88 / $2,007.92	Professional		$1,212.48	$1,553.88	$2,007.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,557.96 / $2,328.56	Professional		$29.27	$1,557.96	$2,328.56