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 $3,243.61 / $3,243.61 / $3,681.63	Professional		$3,243.61	$3,243.61	$3,681.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,685.67 / $4,291.16 / $4,379.60	Professional		$3,685.67	$4,291.16	$4,379.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,691.84 / $5,271.42 / $6,220.28	Professional		$4,691.84	$5,271.42	$6,220.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,776.22 / $4,119.52 / $4,806.10	Professional		$3,776.22	$4,119.52	$4,806.10
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 $3,501.59 / $4,291.16 / $5,602.71	Professional		$3,501.59	$4,291.16	$5,602.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $3,640.05 / $4,714.80	Professional		$29.27	$3,640.05	$4,714.80