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 $1,885.59 / $2,093.73 / $2,565.07	Professional		$1,885.59	$2,093.73	$2,565.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,161.63 / $2,615.73 / $5,428.67	Professional		$2,161.63	$2,615.73	$5,428.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,824.03 / $3,172.88 / $3,648.81	Professional		$2,824.03	$3,172.88	$3,648.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,218.15 / $2,511.11 / $2,929.63	Professional		$2,218.15	$2,511.11	$2,929.63
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 $2,090.10 / $2,699.01 / $3,589.31	Professional		$2,090.10	$2,699.01	$3,589.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $363.26 / $1,929.84 / $2,906.11	Professional		$363.26	$1,929.84	$2,906.11