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 $1,940.75 / $1,940.75 / $2,205.34	Professional		$1,940.75	$1,940.75	$2,205.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,201.28 / $2,592.91 / $2,601.73	Professional		$2,201.28	$2,592.91	$2,601.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,826.87 / $3,176.07 / $3,747.76	Professional		$2,826.87	$3,176.07	$3,747.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,281.76 / $2,489.19 / $2,904.06	Professional		$2,281.76	$2,489.19	$2,904.06
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 $2,115.82 / $2,592.91 / $3,350.13	Professional		$2,115.82	$2,592.91	$3,350.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,200.42 / $2,839.50	Professional		$29.27	$2,200.42	$2,839.50