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 $2,620.40 / $2,620.40 / $4,233.30	Professional		$2,620.40	$2,620.40	$4,233.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,621.71 / $3,388.50 / $4,066.20	Professional		$2,621.71	$3,388.50	$4,066.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,576.41 / $3,913.99 / $4,620.93	Professional		$3,576.41	$3,913.99	$4,620.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,981.88 / $3,252.96 / $3,795.12	Professional		$2,981.88	$3,252.96	$3,795.12
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 $2,765.02 / $3,388.50 / $4,383.81	Professional		$2,765.02	$3,388.50	$4,383.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,653.72 / $4,226.49	Professional		$29.27	$2,653.72	$4,226.49