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 $1,185.22 / $1,301.47 / $1,609.84	Professional		$1,185.22	$1,301.47	$1,609.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.43 / $1,643.91 / $3,398.28	Professional		$1,345.43	$1,643.91	$3,398.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,771.85 / $1,990.73 / $2,289.34	Professional		$1,771.85	$1,990.73	$2,289.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,394.04 / $1,578.16 / $1,841.18	Professional		$1,394.04	$1,578.16	$1,841.18
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 $1,304.88 / $1,656.39 / $2,252.98	Professional		$1,304.88	$1,656.39	$2,252.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,228.92 / $1,990.05	Professional		$29.27	$1,228.92	$1,990.05