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 $2,630.34 / $2,630.34 / $2,630.34	Professional		$2,630.34	$2,630.34	$2,630.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,718.12 / $3,492.96 / $4,191.56	Professional		$2,718.12	$3,492.96	$4,191.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,686.88 / $4,034.89 / $4,763.67	Professional		$3,686.88	$4,034.89	$4,763.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,073.81 / $3,353.24 / $3,912.12	Professional		$3,073.81	$3,353.24	$3,912.12
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 $2,850.26 / $3,492.96 / $4,534.32	Professional		$2,850.26	$3,492.96	$4,534.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $474.25 / $2,877.68 / $3,794.04	Professional		$474.25	$2,877.68	$3,794.04