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 $1,897.29 / $1,897.29 / $1,897.29	Professional		$1,897.29	$1,897.29	$1,897.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,131.00 / $2,131.00 / $2,489.42	Professional		$2,131.00	$2,131.00	$2,489.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,567.67 / $2,810.04 / $3,473.91	Professional		$2,567.67	$2,810.04	$3,473.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,875.28 / $2,045.76 / $2,386.71	Professional		$1,875.28	$2,045.76	$2,386.71
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 $1,738.90 / $2,240.15 / $2,879.97	Professional		$1,738.90	$2,240.15	$2,879.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,202.35 / $3,481.40	Professional		$29.27	$2,202.35	$3,481.40