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 $1,464.59 / $1,563.19 / $1,646.08	Professional		$1,464.59	$1,563.19	$1,646.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,658.50 / $2,261.13 / $2,261.13	Professional		$1,658.50	$2,261.13	$2,261.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,296.87 / $2,580.60 / $3,045.11	Professional		$2,296.87	$2,580.60	$3,045.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,989.79 / $2,170.67 / $2,532.46	Professional		$1,989.79	$2,170.67	$2,532.46
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 $1,845.08 / $2,261.13 / $2,896.38	Professional		$1,845.08	$2,261.13	$2,896.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,730.11 / $2,467.53	Professional		$29.27	$1,730.11	$2,467.53