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 $1,309.42 / $1,309.42 / $1,418.38	Professional		$1,309.42	$1,309.42	$1,418.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,404.06 / $1,760.63 / $1,760.63	Professional		$1,404.06	$1,760.63	$1,760.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,863.48 / $2,144.10 / $15,461.00	Professional		$1,863.48	$2,144.10	$15,461.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,549.35 / $1,690.20 / $1,971.90	Professional		$1,549.35	$1,690.20	$1,971.90
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 $1,436.67 / $1,760.63 / $2,231.48	Professional		$1,436.67	$1,760.63	$2,231.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,273.44 / $2,226.67	Professional		$29.27	$1,273.44	$2,226.67