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 $1,211.84 / $1,211.84 / $1,302.67	Professional		$1,211.84	$1,211.84	$1,302.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.78 / $1,615.34 / $1,615.34	Professional		$1,286.78	$1,615.34	$1,615.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,703.21 / $1,913.61 / $2,258.06	Professional		$1,703.21	$1,913.61	$2,258.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,421.50 / $1,550.72 / $1,809.18	Professional		$1,421.50	$1,550.72	$1,809.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.12 / $1,615.34 / $2,041.40	Professional		$1,318.12	$1,615.34	$2,041.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,163.91 / $1,887.98	Professional		$29.27	$1,163.91	$1,887.98