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 $1,554.99 / $1,554.99 / $1,554.99	Professional		$1,554.99	$1,554.99	$1,554.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,642.44 / $1,642.44 / $2,010.27	Professional		$1,642.44	$1,642.44	$2,010.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,129.12 / $2,330.09 / $2,880.58	Professional		$2,129.12	$2,330.09	$2,880.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.35 / $1,576.74 / $1,839.53	Professional		$1,445.35	$1,576.74	$1,839.53
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 $1,340.23 / $1,726.45 / $2,221.16	Professional		$1,340.23	$1,726.45	$2,221.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,697.21 / $1,934.99	Professional		$29.27	$1,697.21	$1,934.99