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 $1,169.57 / $1,223.69 / $1,223.69	Professional		$1,169.57	$1,223.69	$1,223.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.59 / $1,396.93 / $1,396.93	Professional		$1,126.59	$1,396.93	$1,396.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,632.42 / $1,834.07 / $2,164.19	Professional		$1,632.42	$1,834.07	$2,164.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,229.29 / $1,341.05 / $1,564.56	Professional		$1,229.29	$1,341.05	$1,564.56
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 $1,139.89 / $1,396.93 / $1,817.27	Professional		$1,139.89	$1,396.93	$1,817.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,153.19 / $1,825.31	Professional		$29.27	$1,153.19	$1,825.31