Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,747.00 / $6,084.00	Facility		$2,528.00	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,370.01 / $2,370.01 / $2,370.01	Professional		$2,370.01	$2,370.01	$2,370.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,994.42 / $2,563.75 / $3,076.50	Professional		$1,994.42	$2,563.75	$3,076.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,884.89 / $3,157.20 / $3,727.45	Professional		$2,884.89	$3,157.20	$3,727.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,256.10 / $2,461.19 / $2,871.40	Professional		$2,256.10	$2,461.19	$2,871.40
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 $2,092.02 / $2,563.75 / $3,329.82	Professional		$2,092.02	$2,563.75	$3,329.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,323.23 / $2,784.87	Professional		$29.27	$2,323.23	$2,784.87