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 $1,199.57 / $1,199.57 / $1,199.57	Professional		$1,199.57	$1,199.57	$1,199.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.10 / $1,541.10 / $1,567.21	Professional		$1,541.10	$1,541.10	$1,567.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,725.78 / $1,985.64 / $7,637.00	Professional		$1,725.78	$1,985.64	$7,637.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,379.15 / $1,504.52 / $1,755.28	Professional		$1,379.15	$1,504.52	$1,755.28
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 $1,278.84 / $1,567.21 / $2,061.17	Professional		$1,278.84	$1,567.21	$2,061.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,554.01 / $2,074.53	Professional		$29.27	$1,554.01	$2,074.53