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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.65 / $1,688.30 / $2,025.96	Professional		$1,377.65	$1,688.30	$2,025.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,559.02 / $1,791.98 / $2,019.38	Professional		$1,559.02	$1,791.98	$2,019.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,485.70 / $1,620.77 / $1,890.90	Professional		$1,485.70	$1,620.77	$1,890.90
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 $1,377.65 / $1,688.30 / $1,728.51	Professional		$1,377.65	$1,688.30	$1,728.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.73 / $1,266.31 / $1,421.82	Professional		$177.73	$1,266.31	$1,421.82