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 $2,493.50 / $2,493.50 / $2,493.50	Professional		$2,493.50	$2,493.50	$2,493.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,388.82 / $3,059.43 / $3,671.31	Professional		$2,388.82	$3,059.43	$3,671.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,379.40 / $3,698.38 / $4,366.38	Professional		$3,379.40	$3,698.38	$4,366.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,692.29 / $2,937.05 / $3,426.56	Professional		$2,692.29	$2,937.05	$3,426.56
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 $2,496.48 / $3,059.43 / $4,006.19	Professional		$2,496.48	$3,059.43	$4,006.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,212.69 / $4,216.62	Professional		$29.27	$2,212.69	$4,216.62