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 $1,262.09 / $1,320.27 / $1,320.27	Professional		$1,262.09	$1,320.27	$1,320.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.28 / $1,514.26 / $1,514.26	Professional		$1,215.28	$1,514.26	$1,514.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,747.22 / $1,963.05 / $2,316.40	Professional		$1,747.22	$1,963.05	$2,316.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,332.55 / $1,453.69 / $1,695.97	Professional		$1,332.55	$1,453.69	$1,695.97
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 $1,235.64 / $1,514.26 / $1,962.57	Professional		$1,235.64	$1,514.26	$1,962.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,225.09 / $1,916.56	Professional		$29.27	$1,225.09	$1,916.56