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 $1,121.84 / $1,121.84 / $1,290.22	Professional		$1,121.84	$1,121.84	$1,290.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,284.11 / $1,538.14 / $1,538.14	Professional		$1,284.11	$1,538.14	$1,538.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,628.07 / $1,829.19 / $2,158.44	Professional		$1,628.07	$1,829.19	$2,158.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,353.56 / $1,476.61 / $1,722.71	Professional		$1,353.56	$1,476.61	$1,722.71
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 $1,255.11 / $1,538.14 / $1,962.98	Professional		$1,255.11	$1,538.14	$1,962.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,112.57 / $1,675.39	Professional		$29.27	$1,112.57	$1,675.39