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 $1,248.69 / $1,248.69 / $1,275.96	Professional		$1,248.69	$1,248.69	$1,275.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.83 / $1,524.04 / $1,524.04	Professional		$1,244.83	$1,524.04	$1,524.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,599.54 / $1,840.41 / $6,874.20	Professional		$1,599.54	$1,840.41	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,341.15 / $1,463.08 / $1,706.92	Professional		$1,341.15	$1,463.08	$1,706.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,243.60 / $1,524.04 / $1,980.32	Professional		$1,243.60	$1,524.04	$1,980.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,093.07 / $2,090.17	Professional		$29.27	$1,093.07	$2,090.17