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 $1,215.55 / $1,275.89 / $1,275.89	Professional		$1,215.55	$1,275.89	$1,275.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.05 / $1,451.83 / $1,453.02	Professional		$1,171.05	$1,451.83	$1,453.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,721.50 / $1,934.15 / $2,282.30	Professional		$1,721.50	$1,934.15	$2,282.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,277.60 / $1,393.75 / $1,626.04	Professional		$1,277.60	$1,393.75	$1,626.04
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 $1,184.69 / $1,451.83 / $1,888.34	Professional		$1,184.69	$1,451.83	$1,888.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,212.93 / $1,920.58	Professional		$29.27	$1,212.93	$1,920.58