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 $1,815.72 / $1,815.72 / $1,815.72	Professional		$1,815.72	$1,815.72	$1,815.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.17 / $2,240.42 / $2,688.51	Professional		$1,748.17	$2,240.42	$2,688.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,389.79 / $2,615.36 / $3,087.75	Professional		$2,389.79	$2,615.36	$3,087.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,971.57 / $2,150.81 / $2,509.28	Professional		$1,971.57	$2,150.81	$2,509.28
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 $1,816.65 / $2,240.42 / $2,849.46	Professional		$1,816.65	$2,240.42	$2,849.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,725.95 / $2,440.69	Professional		$29.27	$1,725.95	$2,440.69