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 $1,025.15 / $1,025.15 / $1,025.15	Professional		$1,025.15	$1,025.15	$1,025.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.04 / $1,076.04 / $1,323.28	Professional		$1,076.04	$1,076.04	$1,323.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,424.93 / $1,559.43 / $1,927.85	Professional		$1,424.93	$1,559.43	$1,927.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.91 / $1,033.00 / $1,205.16	Professional		$946.91	$1,033.00	$1,205.16
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 $878.05 / $1,119.57 / $1,444.52	Professional		$878.05	$1,119.57	$1,444.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,192.67 / $1,798.06	Professional		$29.27	$1,192.67	$1,798.06