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 $2,029.76 / $2,029.76 / $2,029.76	Professional		$2,029.76	$2,029.76	$2,029.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.48 / $2,344.48 / $2,628.08	Professional		$2,344.48	$2,344.48	$2,628.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,748.25 / $3,007.67 / $3,718.23	Professional		$2,748.25	$3,007.67	$3,718.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,063.14 / $2,250.69 / $2,625.81	Professional		$2,063.14	$2,250.69	$2,625.81
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 $1,913.09 / $2,417.84 / $3,138.89	Professional		$1,913.09	$2,417.84	$3,138.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,735.47 / $2,593.00	Professional		$29.27	$1,735.47	$2,593.00