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 $1,312.48 / $1,406.64 / $1,776.97	Professional		$1,312.48	$1,406.64	$1,776.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.27 / $1,768.78 / $3,625.80	Professional		$1,459.27	$1,768.78	$3,625.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,993.46 / $2,239.71 / $2,575.67	Professional		$1,993.46	$2,239.71	$2,575.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,470.81 / $1,665.07 / $1,942.58	Professional		$1,470.81	$1,665.07	$1,942.58
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 $1,415.31 / $1,812.29 / $2,410.63	Professional		$1,415.31	$1,812.29	$2,410.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,608.16 / $2,545.87	Professional		$29.27	$1,608.16	$2,545.87