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 $2,023.55 / $2,023.55 / $2,023.55	Professional		$2,023.55	$2,023.55	$2,023.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,433.05 / $2,433.05 / $2,634.47	Professional		$2,433.05	$2,433.05	$2,634.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,758.48 / $3,018.85 / $3,732.06	Professional		$2,758.48	$3,018.85	$3,732.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,141.08 / $2,335.73 / $2,725.02	Professional		$2,141.08	$2,335.73	$2,725.02
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 $1,985.37 / $2,518.84 / $3,266.43	Professional		$1,985.37	$2,518.84	$3,266.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,489.09 / $3,633.42	Professional		$29.27	$2,489.09	$3,633.42