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 $1,734.65 / $1,878.34 / $2,331.19	Professional		$1,734.65	$1,878.34	$2,331.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,940.89 / $2,358.60 / $4,925.08	Professional		$1,940.89	$2,358.60	$4,925.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,541.87 / $2,855.87 / $3,284.25	Professional		$2,541.87	$2,855.87	$3,284.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,000.09 / $2,264.26 / $2,641.63	Professional		$2,000.09	$2,264.26	$2,641.63
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 $1,879.20 / $2,358.60 / $3,258.67	Professional		$1,879.20	$2,358.60	$3,258.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,787.19 / $2,906.00	Professional		$29.27	$1,787.19	$2,906.00