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 $1,692.92 / $1,692.92 / $1,692.92	Professional		$1,692.92	$1,692.92	$1,692.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,607.02 / $2,059.04 / $2,470.85	Professional		$1,607.02	$2,059.04	$2,470.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,181.48 / $2,387.40 / $2,818.62	Professional		$2,181.48	$2,387.40	$2,818.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,811.95 / $1,976.68 / $2,306.12	Professional		$1,811.95	$1,976.68	$2,306.12
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 $1,674.16 / $2,059.04 / $2,636.96	Professional		$1,674.16	$2,059.04	$2,636.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,543.12 / $2,244.89	Professional		$29.27	$1,543.12	$2,244.89