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 $1,843.47 / $1,843.47 / $2,104.21	Professional		$1,843.47	$1,843.47	$2,104.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,099.85 / $2,488.94 / $2,488.94	Professional		$2,099.85	$2,488.94	$2,488.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,695.47 / $3,028.44 / $3,573.56	Professional		$2,695.47	$3,028.44	$3,573.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,190.28 / $2,389.39 / $2,787.62	Professional		$2,190.28	$2,389.39	$2,787.62
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 $2,030.98 / $2,488.94 / $3,203.66	Professional		$2,030.98	$2,488.94	$3,203.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,977.72 / $2,722.88	Professional		$29.27	$1,977.72	$2,722.88