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 $1,753.61 / $3,217.50 / $3,217.50	Professional		$1,753.61	$3,217.50	$3,217.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $3,060.80 / $11,437.74	Professional		$462.00	$3,060.80	$11,437.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,581.73 / $2,922.72 / $3,409.84	Professional		$2,581.73	$2,922.72	$3,409.84
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 $1,969.87 / $2,722.25 / $3,604.85	Professional		$1,969.87	$2,722.25	$3,604.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,892.51 / $2,926.50	Professional		$29.27	$1,892.51	$2,926.50