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 $1,256.47 / $1,256.47 / $1,256.47	Professional		$1,256.47	$1,256.47	$1,256.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,612.08 / $1,612.08 / $1,687.86	Professional		$1,612.08	$1,612.08	$1,687.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,809.93 / $1,980.77 / $2,448.73	Professional		$1,809.93	$1,980.77	$2,448.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,485.32 / $1,620.35 / $1,890.41	Professional		$1,485.32	$1,620.35	$1,890.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,377.30 / $1,687.86 / $2,198.73	Professional		$1,377.30	$1,687.86	$2,198.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,611.69 / $2,116.81	Professional		$29.27	$1,611.69	$2,116.81