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 $1,808.33 / $1,808.33 / $1,808.33	Professional		$1,808.33	$1,808.33	$1,808.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,237.56 / $2,237.56 / $2,287.53	Professional		$2,237.56	$2,237.56	$2,287.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,678.77 / $2,931.61 / $3,624.21	Professional		$2,678.77	$2,931.61	$3,624.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,013.02 / $2,196.02 / $2,562.03	Professional		$2,013.02	$2,196.02	$2,562.03
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 $1,866.62 / $2,287.53 / $3,037.79	Professional		$1,866.62	$2,287.53	$3,037.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,339.73 / $3,493.89	Professional		$29.27	$2,339.73	$3,493.89