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 $1,389.79 / $1,389.79 / $1,389.79	Professional		$1,389.79	$1,389.79	$1,389.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.68 / $1,663.68 / $1,742.71	Professional		$1,663.68	$1,663.68	$1,742.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,125.81 / $2,326.46 / $2,876.09	Professional		$2,125.81	$2,326.46	$2,876.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,464.03 / $1,597.13 / $1,863.32	Professional		$1,464.03	$1,597.13	$1,863.32
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 $1,357.56 / $1,741.90 / $2,243.09	Professional		$1,357.56	$1,741.90	$2,243.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,716.85 / $1,862.35	Professional		$29.27	$1,716.85	$1,862.35