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 $2,475.39 / $2,475.39 / $2,475.39	Professional		$2,475.39	$2,475.39	$2,475.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,674.55 / $3,435.14 / $4,122.17	Professional		$2,674.55	$3,435.14	$4,122.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,629.35 / $3,971.93 / $4,689.33	Professional		$3,629.35	$3,971.93	$4,689.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,022.92 / $3,297.73 / $3,847.35	Professional		$3,022.92	$3,297.73	$3,847.35
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 $2,796.57 / $3,435.14 / $4,443.33	Professional		$2,796.57	$3,435.14	$4,443.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,847.52 / $3,734.84	Professional		$29.27	$2,847.52	$3,734.84