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 $2,285.30 / $2,285.30 / $2,329.92	Professional		$2,285.30	$2,285.30	$2,329.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.83 / $3,037.31 / $3,063.90	Professional		$2,344.83	$3,037.31	$3,063.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,232.18 / $3,631.46 / $4,285.12	Professional		$3,232.18	$3,631.46	$4,285.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,672.84 / $2,915.82 / $3,401.79	Professional		$2,672.84	$2,915.82	$3,401.79
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 $2,478.44 / $3,037.31 / $3,929.69	Professional		$2,478.44	$3,037.31	$3,929.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,511.15 / $3,326.13	Professional		$29.27	$2,511.15	$3,326.13