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 $2,279.48 / $2,279.48 / $2,279.48	Professional		$2,279.48	$2,279.48	$2,279.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,192.57 / $2,802.89 / $3,363.47	Professional		$2,192.57	$2,802.89	$3,363.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,979.89 / $3,261.16 / $3,850.19	Professional		$2,979.89	$3,261.16	$3,850.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,466.54 / $2,690.77 / $3,139.23	Professional		$2,466.54	$2,690.77	$3,139.23
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 $2,287.16 / $2,802.89 / $3,611.84	Professional		$2,287.16	$2,802.89	$3,611.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,133.44 / $3,066.50	Professional		$29.27	$2,133.44	$3,066.50