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 $1,713.80 / $1,713.80 / $1,713.80	Professional		$1,713.80	$1,713.80	$1,713.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,919.56 / $1,919.56 / $2,245.12	Professional		$1,919.56	$1,919.56	$2,245.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,335.61 / $2,556.07 / $3,159.95	Professional		$2,335.61	$2,556.07	$3,159.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,689.22 / $1,842.78 / $2,149.91	Professional		$1,689.22	$1,842.78	$2,149.91
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 $1,566.36 / $2,015.35 / $2,592.02	Professional		$1,566.36	$2,015.35	$2,592.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,132.55 / $3,175.22	Professional		$29.27	$2,132.55	$3,175.22