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 $2,061.78 / $2,061.78 / $2,061.78	Professional		$2,061.78	$2,061.78	$2,061.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.19 / $2,259.25 / $2,711.10	Professional		$1,755.19	$2,259.25	$2,711.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,470.90 / $3,905.71 / $4,601.60	Professional		$3,470.90	$3,905.71	$4,601.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,988.14 / $2,168.88 / $2,530.36	Professional		$1,988.14	$2,168.88	$2,530.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,843.55 / $2,383.10 / $2,907.18	Professional		$1,843.55	$2,383.10	$2,907.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,177.92 / $2,830.07	Professional		$29.27	$2,177.92	$2,830.07