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 $1,662.93 / $1,662.93 / $1,662.93	Professional		$1,662.93	$1,662.93	$1,662.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,982.40 / $1,982.40 / $2,154.44	Professional		$1,982.40	$1,982.40	$2,154.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,311.61 / $2,529.80 / $3,127.47	Professional		$2,311.61	$2,529.80	$3,127.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,744.51 / $1,903.10 / $2,220.29	Professional		$1,744.51	$1,903.10	$2,220.29
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 $1,617.64 / $2,043.18 / $2,653.31	Professional		$1,617.64	$2,043.18	$2,653.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,036.69 / $3,107.98	Professional		$29.27	$2,036.69	$3,107.98