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 $1,591.43 / $1,591.43 / $1,591.43	Professional		$1,591.43	$1,591.43	$1,591.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,929.46 / $1,929.46 / $2,058.67	Professional		$1,929.46	$1,929.46	$2,058.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,289.55 / $2,505.66 / $3,097.63	Professional		$2,289.55	$2,505.66	$3,097.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,697.93 / $1,852.28 / $2,161.00	Professional		$1,697.93	$1,852.28	$2,161.00
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 $1,574.44 / $1,961.19 / $2,557.91	Professional		$1,574.44	$1,961.19	$2,557.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,971.14 / $2,885.61	Professional		$29.27	$1,971.14	$2,885.61