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 $1,638.57 / $2,007.43 / $2,007.43	Professional		$1,638.57	$2,007.43	$2,007.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.21 / $2,683.91 / $2,683.91	Professional		$2,191.21	$2,683.91	$2,683.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,978.96 / $3,504.66 / $3,949.40	Professional		$2,978.96	$3,504.66	$3,949.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,361.84 / $2,576.56 / $3,005.98	Professional		$2,361.84	$2,576.56	$3,005.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,190.07 / $2,683.91 / $3,520.71	Professional		$2,190.07	$2,683.91	$3,520.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,940.73 / $2,717.02	Professional		$29.27	$1,940.73	$2,717.02