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 $1,550.89 / $1,654.28 / $6,147.14	Professional		$1,550.89	$1,654.28	$6,147.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,988.51 / $1,988.51 / $2,146.67	Professional		$1,988.51	$1,988.51	$2,146.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,329.17 / $2,549.04 / $3,151.24	Professional		$2,329.17	$2,549.04	$3,151.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,749.89 / $1,908.97 / $2,227.13	Professional		$1,749.89	$1,908.97	$2,227.13
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 $1,622.63 / $2,049.42 / $2,661.30	Professional		$1,622.63	$2,049.42	$2,661.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,042.49 / $3,040.98	Professional		$29.27	$2,042.49	$3,040.98