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 $1,401.39 / $1,500.07 / $1,736.95	Professional		$1,401.39	$1,500.07	$1,736.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.25 / $2,037.85 / $2,037.85	Professional		$1,698.25	$2,037.85	$2,037.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,193.55 / $2,464.52 / $2,908.13	Professional		$2,193.55	$2,464.52	$2,908.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,793.31 / $1,956.34 / $2,282.39	Professional		$1,793.31	$1,956.34	$2,282.39
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 $1,662.89 / $2,037.85 / $2,599.50	Professional		$1,662.89	$2,037.85	$2,599.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,659.68 / $2,218.67	Professional		$29.27	$1,659.68	$2,218.67