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 $1,570.26 / $1,570.26 / $1,570.26	Professional		$1,570.26	$1,570.26	$1,570.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,896.95 / $1,896.95 / $2,031.34	Professional		$1,896.95	$1,896.95	$2,031.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,190.81 / $2,397.60 / $2,964.03	Professional		$2,190.81	$2,397.60	$2,964.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,669.32 / $1,821.07 / $2,124.58	Professional		$1,669.32	$1,821.07	$2,124.58
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 $1,547.91 / $1,935.47 / $2,520.62	Professional		$1,547.91	$1,935.47	$2,520.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,735.26 / $2,555.00	Professional		$29.27	$1,735.26	$2,555.00