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 $965.03 / $1,260.00 / $2,170.29	Professional		$965.03	$1,260.00	$2,170.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,378.13 / $1,734.76 / $1,734.76	Professional		$1,378.13	$1,734.76	$1,734.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,823.12 / $2,048.33 / $2,417.03	Professional		$1,823.12	$2,048.33	$2,417.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,526.59 / $1,665.37 / $1,942.93	Professional		$1,526.59	$1,665.37	$1,942.93
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 $1,415.57 / $1,734.76 / $2,194.88	Professional		$1,415.57	$1,734.76	$2,194.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,413.97 / $2,243.39	Professional		$29.27	$1,413.97	$2,243.39