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 $2,877.75 / $2,877.75 / $2,877.75	Professional		$2,877.75	$2,877.75	$2,877.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,306.24 / $4,218.78 / $5,062.53	Professional		$3,306.24	$4,218.78	$5,062.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,497.89 / $4,922.45 / $5,811.54	Professional		$4,497.89	$4,922.45	$5,811.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,712.52 / $4,050.02 / $4,725.03	Professional		$3,712.52	$4,050.02	$4,725.03
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 $3,426.99 / $4,218.78 / $5,444.28	Professional		$3,426.99	$4,218.78	$5,444.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $3,404.20 / $4,628.62	Professional		$29.27	$3,404.20	$4,628.62