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 $1,624.86 / $1,785.17 / $2,207.02	Professional		$1,624.86	$1,785.17	$2,207.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,805.47 / $2,239.06 / $4,660.68	Professional		$1,805.47	$2,239.06	$4,660.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,417.80 / $2,716.47 / $3,123.94	Professional		$2,417.80	$2,716.47	$3,123.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,898.73 / $2,149.50 / $2,507.75	Professional		$1,898.73	$2,149.50	$2,507.75
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 $1,779.94 / $2,239.06 / $3,081.26	Professional		$1,779.94	$2,239.06	$3,081.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,652.24 / $2,666.05	Professional		$29.27	$1,652.24	$2,666.05