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 $1,783.69 / $1,783.69 / $2,032.85	Professional		$1,783.69	$1,783.69	$2,032.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,027.39 / $2,398.04 / $2,398.04	Professional		$2,027.39	$2,398.04	$2,398.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,548.46 / $2,863.27 / $3,378.66	Professional		$2,548.46	$2,863.27	$3,378.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,110.27 / $2,302.12 / $2,685.80	Professional		$2,110.27	$2,302.12	$2,685.80
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 $1,956.80 / $2,398.04 / $3,088.50	Professional		$1,956.80	$2,398.04	$3,088.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,921.70 / $2,622.53	Professional		$29.27	$1,921.70	$2,622.53