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 $1,699.85 / $1,699.85 / $1,699.85	Professional		$1,699.85	$1,699.85	$1,699.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,829.79 / $1,829.79 / $2,206.83	Professional		$1,829.79	$1,829.79	$2,206.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,369.84 / $2,593.54 / $3,206.26	Professional		$2,369.84	$2,593.54	$3,206.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,610.21 / $1,756.60 / $2,049.36	Professional		$1,610.21	$1,756.60	$2,049.36
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 $1,493.11 / $1,919.65 / $2,469.94	Professional		$1,493.11	$1,919.65	$2,469.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,021.30 / $2,990.22	Professional		$29.27	$2,021.30	$2,990.22