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 $1,563.22 / $1,735.30 / $2,164.06	Professional		$1,563.22	$1,735.30	$2,164.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,794.21 / $2,168.64 / $4,513.49	Professional		$1,794.21	$2,168.64	$4,513.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,333.73 / $2,622.03 / $3,015.33	Professional		$2,333.73	$2,622.03	$3,015.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,839.00 / $2,081.89 / $2,428.87	Professional		$1,839.00	$2,081.89	$2,428.87
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 $1,728.64 / $2,168.64 / $2,987.89	Professional		$1,728.64	$2,168.64	$2,987.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,642.74 / $2,641.54	Professional		$29.27	$1,642.74	$2,641.54