Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,966.00 / $8,499.00	Facility		$2,747.00	$6,966.00	$8,499.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,624.46 / $1,624.46 / $1,624.46	Professional		$1,624.46	$1,624.46	$1,624.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,910.03 / $2,449.36 / $2,939.24	Professional		$1,910.03	$2,449.36	$2,939.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,708.58 / $2,911.72 / $3,048.92	Professional		$2,708.58	$2,911.72	$3,048.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,155.44 / $2,351.39 / $2,743.29	Professional		$2,155.44	$2,351.39	$2,743.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,985.21 / $2,449.36 / $3,130.97	Professional		$1,985.21	$2,449.36	$3,130.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,770.99 / $2,666.91	Professional		$29.27	$1,770.99	$2,666.91