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 $2,477.12 / $2,477.12 / $2,477.12	Professional		$2,477.12	$2,477.12	$2,477.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,631.17 / $3,381.94 / $4,058.33	Professional		$2,631.17	$3,381.94	$4,058.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,683.48 / $4,031.16 / $4,759.26	Professional		$3,683.48	$4,031.16	$4,759.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,976.11 / $3,246.66 / $3,787.77	Professional		$2,976.11	$3,246.66	$3,787.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,759.66 / $3,381.94 / $4,378.79	Professional		$2,759.66	$3,381.94	$4,378.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,711.90 / $3,672.00	Professional		$29.27	$2,711.90	$3,672.00