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 $2,750.91 / $2,750.91 / $2,750.91	Professional		$2,750.91	$2,750.91	$2,750.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,529.82 / $3,249.53 / $3,899.43	Professional		$2,529.82	$3,249.53	$3,899.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,605.86 / $3,946.22 / $4,658.97	Professional		$3,605.86	$3,946.22	$4,658.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,859.58 / $3,119.54 / $3,639.47	Professional		$2,859.58	$3,119.54	$3,639.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,651.61 / $3,249.53 / $4,210.37	Professional		$2,651.61	$3,249.53	$4,210.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,855.60 / $4,542.37	Professional		$29.27	$2,855.60	$4,542.37