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 $1,272.78 / $1,358.43 / $1,678.88	Professional		$1,272.78	$1,358.43	$1,678.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,438.26 / $1,651.25 / $3,419.21	Professional		$1,438.26	$1,651.25	$3,419.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,889.80 / $2,123.23 / $2,441.73	Professional		$1,889.80	$2,123.23	$2,441.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,400.26 / $1,585.20 / $1,849.40	Professional		$1,400.26	$1,585.20	$1,849.40
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 $1,317.39 / $1,682.12 / $2,441.55	Professional		$1,317.39	$1,682.12	$2,441.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,342.17 / $2,153.38	Professional		$29.27	$1,342.17	$2,153.38