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 $1,417.33 / $1,586.15 / $1,961.13	Professional		$1,417.33	$1,586.15	$1,961.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,596.12 / $2,002.34 / $4,110.75	Professional		$1,596.12	$2,002.34	$4,110.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,157.32 / $2,423.81 / $2,787.38	Professional		$2,157.32	$2,423.81	$2,787.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,697.98 / $1,922.24 / $2,242.62	Professional		$1,697.98	$1,922.24	$2,242.62
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 $1,568.82 / $2,004.60 / $2,890.93	Professional		$1,568.82	$2,004.60	$2,890.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,474.23 / $2,361.81	Professional		$29.27	$1,474.23	$2,361.81