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 $1,396.67 / $1,396.67 / $1,396.67	Professional		$1,396.67	$1,396.67	$1,396.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,329.64 / $1,705.79 / $2,046.95	Professional		$1,329.64	$1,705.79	$2,046.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,821.72 / $1,993.67 / $2,353.77	Professional		$1,821.72	$1,993.67	$2,353.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,501.09 / $1,637.56 / $1,910.48	Professional		$1,501.09	$1,637.56	$1,910.48
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 $1,389.61 / $1,705.79 / $2,150.46	Professional		$1,389.61	$1,705.79	$2,150.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,302.84 / $1,855.87	Professional		$29.27	$1,302.84	$1,855.87