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 $1,010.29 / $1,010.29 / $1,090.54	Professional		$1,010.29	$1,010.29	$1,090.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,067.22 / $1,310.34 / $1,310.34	Professional		$1,067.22	$1,310.34	$1,310.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,402.69 / $1,575.96 / $1,859.63	Professional		$1,402.69	$1,575.96	$1,859.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,153.10 / $1,257.94 / $1,467.59	Professional		$1,153.10	$1,257.94	$1,467.59
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 $1,069.25 / $1,310.34 / $1,703.81	Professional		$1,069.25	$1,310.34	$1,703.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $958.55 / $1,656.28	Professional		$29.27	$958.55	$1,656.28