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 $777.22 / $777.22 / $1,395.43	Professional		$777.22	$777.22	$1,395.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.93 / $1,658.55 / $1,658.55	Professional		$1,389.93	$1,658.55	$1,658.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,770.13 / $1,988.80 / $2,346.78	Professional		$1,770.13	$1,988.80	$2,346.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,459.52 / $1,592.21 / $1,857.58	Professional		$1,459.52	$1,592.21	$1,857.58
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 $1,353.38 / $1,658.55 / $2,123.03	Professional		$1,353.38	$1,658.55	$2,123.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,339.78 / $1,808.79	Professional		$29.27	$1,339.78	$1,808.79