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 $1,128.86 / $1,128.86 / $1,426.52	Professional		$1,128.86	$1,128.86	$1,426.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,376.28 / $2,045.69 / $2,045.69	Professional		$1,376.28	$2,045.69	$2,045.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,162.02 / $2,429.09 / $2,866.33	Professional		$2,162.02	$2,429.09	$2,866.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,800.21 / $1,963.86 / $2,291.17	Professional		$1,800.21	$1,963.86	$2,291.17
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 $1,669.28 / $2,045.69 / $2,597.54	Professional		$1,669.28	$2,045.69	$2,597.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,477.44 / $2,224.86	Professional		$29.27	$1,477.44	$2,224.86