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 $1,798.43 / $1,798.43 / $1,798.43	Professional		$1,798.43	$1,798.43	$1,798.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,163.94 / $2,163.94 / $2,352.86	Professional		$2,163.94	$2,163.94	$2,352.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,437.10 / $2,667.15 / $3,297.26	Professional		$2,437.10	$2,667.15	$3,297.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,904.28 / $2,077.39 / $2,423.62	Professional		$1,904.28	$2,077.39	$2,423.62
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 $1,765.78 / $2,241.76 / $2,907.12	Professional		$1,765.78	$2,241.76	$2,907.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,987.75 / $2,889.26	Professional		$29.27	$1,987.75	$2,889.26