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 $1,687.87 / $1,687.87 / $1,687.87	Professional		$1,687.87	$1,687.87	$1,687.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,903.30 / $1,903.30 / $2,214.09	Professional		$1,903.30	$1,903.30	$2,214.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,353.26 / $2,575.39 / $3,183.82	Professional		$2,353.26	$2,575.39	$3,183.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,674.90 / $1,827.17 / $2,131.69	Professional		$1,674.90	$1,827.17	$2,131.69
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 $1,553.09 / $1,998.36 / $2,570.48	Professional		$1,553.09	$1,998.36	$2,570.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,097.26 / $3,124.12	Professional		$29.27	$2,097.26	$3,124.12