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 $2,200.83 / $2,585.13 / $2,585.13	Professional		$2,200.83	$2,585.13	$2,585.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,848.48 / $3,488.75 / $3,488.75	Professional		$2,848.48	$3,488.75	$3,488.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,728.43 / $4,189.00 / $4,943.02	Professional		$3,728.43	$4,189.00	$4,943.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,070.10 / $3,349.20 / $3,907.40	Professional		$3,070.10	$3,349.20	$3,907.40
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 $2,846.82 / $3,488.75 / $4,546.97	Professional		$2,846.82	$3,488.75	$4,546.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $3,417.14 / $3,836.79	Professional		$29.27	$3,417.14	$3,836.79