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 $1,340.53 / $1,361.46 / $2,030.05	Professional		$1,340.53	$1,361.46	$2,030.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.74 / $1,636.19 / $1,636.19	Professional		$1,318.74	$1,636.19	$1,636.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,913.38 / $2,149.73 / $2,536.67	Professional		$1,913.38	$2,149.73	$2,536.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,439.85 / $1,570.74 / $1,832.53	Professional		$1,439.85	$1,570.74	$1,832.53
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 $1,335.13 / $1,636.19 / $2,128.76	Professional		$1,335.13	$1,636.19	$2,128.76
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,174.10 / $2,162.79	Professional		$29.27	$1,174.10	$2,162.79