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 $1,615.88 / $1,615.88 / $1,615.88	Professional		$1,615.88	$1,615.88	$1,615.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,004.38 / $2,004.38 / $2,118.08	Professional		$2,004.38	$2,004.38	$2,118.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,608.85 / $2,855.10 / $3,529.61	Professional		$2,608.85	$2,855.10	$3,529.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,763.85 / $1,924.20 / $2,244.90	Professional		$1,763.85	$1,924.20	$2,244.90
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 $1,635.57 / $2,062.92 / $2,677.91	Professional		$1,635.57	$2,062.92	$2,677.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,059.90 / $2,934.51	Professional		$29.27	$2,059.90	$2,934.51