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 $2,767.52 / $2,850.26 / $4,489.39	Professional		$2,767.52	$2,850.26	$4,489.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,864.29 / $3,608.06 / $3,608.06	Professional		$2,864.29	$3,608.06	$3,608.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,843.96 / $4,318.80 / $5,096.18	Professional		$3,843.96	$4,318.80	$5,096.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,175.10 / $3,463.74 / $4,041.03	Professional		$3,175.10	$3,463.74	$4,041.03
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 $2,944.18 / $3,608.06 / $4,612.04	Professional		$2,944.18	$3,608.06	$4,612.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,626.82 / $3,955.69	Professional		$29.27	$2,626.82	$3,955.69