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 $2,343.69 / $2,343.69 / $2,686.87	Professional		$2,343.69	$2,343.69	$2,686.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,687.82 / $3,142.34 / $3,164.93	Professional		$2,687.82	$3,142.34	$3,164.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,352.44 / $3,766.57 / $4,444.55	Professional		$3,352.44	$3,766.57	$4,444.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,765.26 / $3,016.64 / $3,519.42	Professional		$2,765.26	$3,016.64	$3,519.42
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 $2,564.15 / $3,142.34 / $4,083.50	Professional		$2,564.15	$3,142.34	$4,083.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,290.94 / $3,422.93	Professional		$29.27	$2,290.94	$3,422.93