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 $1,620.77 / $1,803.29 / $2,232.38	Professional		$1,620.77	$1,803.29	$2,232.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,847.33 / $2,263.89 / $4,679.77	Professional		$1,847.33	$2,263.89	$4,679.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,444.48 / $2,746.45 / $3,158.42	Professional		$2,444.48	$2,746.45	$3,158.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,919.78 / $2,173.33 / $2,535.55	Professional		$1,919.78	$2,173.33	$2,535.55
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 $1,785.47 / $2,263.89 / $3,294.71	Professional		$1,785.47	$2,263.89	$3,294.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,670.47 / $2,667.16	Professional		$29.27	$1,670.47	$2,667.16