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 $1,031.97 / $1,031.97 / $1,031.97	Professional		$1,031.97	$1,031.97	$1,031.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.33 / $1,163.33 / $1,346.38	Professional		$1,163.33	$1,163.33	$1,346.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,405.58 / $1,538.25 / $1,901.66	Professional		$1,405.58	$1,538.25	$1,901.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.73 / $1,116.79 / $1,302.92	Professional		$1,023.73	$1,116.79	$1,302.92
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 $949.27 / $1,163.33 / $1,563.33	Professional		$949.27	$1,163.33	$1,563.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,286.68 / $1,935.85	Professional		$29.27	$1,286.68	$1,935.85