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 $1,610.74 / $1,764.21 / $2,109.21	Professional		$1,610.74	$1,764.21	$2,109.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,802.39 / $2,184.42 / $4,059.48	Professional		$1,802.39	$2,184.42	$4,059.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,322.81 / $2,609.75 / $3,001.21	Professional		$2,322.81	$2,609.75	$3,001.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,852.39 / $2,097.05 / $2,446.56	Professional		$1,852.39	$2,097.05	$2,446.56
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 $1,680.03 / $2,184.42 / $3,123.41	Professional		$1,680.03	$2,184.42	$3,123.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,725.47 / $2,727.97	Professional		$29.27	$1,725.47	$2,727.97