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 $1,633.14 / $1,836.66 / $2,337.58	Professional		$1,633.14	$1,836.66	$2,337.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,791.63 / $2,427.59 / $4,893.49	Professional		$1,791.63	$2,427.59	$4,893.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,590.61 / $2,910.63 / $3,347.22	Professional		$2,590.61	$2,910.63	$3,347.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,058.59 / $2,330.48 / $2,718.90	Professional		$2,058.59	$2,330.48	$2,718.90
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 $1,789.43 / $2,427.59 / $3,283.38	Professional		$1,789.43	$2,427.59	$3,283.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,770.33 / $2,645.08	Professional		$29.27	$1,770.33	$2,645.08