Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,610.76 / $2,610.76 / $2,610.76	Professional		$2,610.76	$2,610.76	$2,610.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,378.96 / $3,013.25 / $3,615.90	Professional		$2,378.96	$3,013.25	$3,615.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,490.44 / $3,819.90 / $4,509.85	Professional		$3,490.44	$3,819.90	$4,509.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,651.66 / $2,892.72 / $3,374.84	Professional		$2,651.66	$2,892.72	$3,374.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,458.81 / $3,013.25 / $3,933.23	Professional		$2,458.81	$3,013.25	$3,933.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,805.09 / $4,399.77	Professional		$29.27	$2,805.09	$4,399.77