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 $839.84 / $1,103.10 / $1,103.10	Professional		$839.84	$1,103.10	$1,103.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.71 / $1,505.79 / $1,505.79	Professional		$1,202.71	$1,505.79	$1,505.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,624.83 / $1,825.55 / $2,154.15	Professional		$1,624.83	$1,825.55	$2,154.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,325.09 / $1,445.56 / $1,686.48	Professional		$1,325.09	$1,445.56	$1,686.48
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 $1,228.72 / $1,505.79 / $1,944.57	Professional		$1,228.72	$1,505.79	$1,944.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,225.19 / $1,946.70	Professional		$29.27	$1,225.19	$1,946.70