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 $1,580.75 / $1,580.75 / $1,580.75	Professional		$1,580.75	$1,580.75	$1,580.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,040.30 / $2,040.30 / $4,792.18	Professional		$2,040.30	$2,040.30	$4,792.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,742.53 / $3,001.40 / $3,710.49	Professional		$2,742.53	$3,001.40	$3,710.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,217.13 / $4,600.50 / $5,367.25	Professional		$4,217.13	$4,600.50	$5,367.25
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 $3,910.43 / $4,792.18 / $6,505.19	Professional		$3,910.43	$4,792.18	$6,505.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,596.02 / $5,313.38	Professional		$29.27	$2,596.02	$5,313.38