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 $1,743.12 / $1,908.73 / $2,362.76	Professional		$1,743.12	$1,908.73	$2,362.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,974.41 / $2,379.39 / $4,965.53	Professional		$1,974.41	$2,379.39	$4,965.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,569.42 / $2,886.82 / $3,319.84	Professional		$2,569.42	$2,886.82	$3,319.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,017.72 / $2,284.21 / $2,664.91	Professional		$2,017.72	$2,284.21	$2,664.91
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 $1,815.52 / $2,379.39 / $3,280.63	Professional		$1,815.52	$2,379.39	$3,280.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,837.53 / $2,960.19	Professional		$29.27	$1,837.53	$2,960.19