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 $1,550.64 / $1,659.16 / $2,043.76	Professional		$1,550.64	$1,659.16	$2,043.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,716.15 / $2,078.90 / $4,318.79	Professional		$1,716.15	$2,078.90	$4,318.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,245.92 / $2,523.36 / $2,901.86	Professional		$2,245.92	$2,523.36	$2,901.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,762.91 / $1,995.74 / $2,328.37	Professional		$1,762.91	$1,995.74	$2,328.37
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 $1,572.31 / $2,078.90 / $2,858.26	Professional		$1,572.31	$2,078.90	$2,858.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,714.93 / $2,730.10	Professional		$29.27	$1,714.93	$2,730.10