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 $1,913.15 / $2,085.76 / $2,555.30	Professional		$1,913.15	$2,085.76	$2,555.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,165.83 / $2,579.46 / $4,789.96	Professional		$2,165.83	$2,579.46	$4,789.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,784.56 / $3,128.53 / $3,597.81	Professional		$2,784.56	$3,128.53	$3,597.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.38 / $2,476.28 / $2,889.00	Professional		$2,187.38	$2,476.28	$2,889.00
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 $1,981.58 / $2,579.46 / $4,446.02	Professional		$1,981.58	$2,579.46	$4,446.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,109.71 / $3,429.45	Professional		$29.27	$2,109.71	$3,429.45