Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $4,265.80	Professional		$2,187.76	$3,090.30	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,388.44 / $3,467.37	Professional		$2,818.38	$3,388.44	$3,467.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $4,897.79	Professional		$3,715.35	$4,073.80	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $3,715.35	Professional		$2,691.53	$2,951.21	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,388.44 / $4,570.88	Professional		$2,818.38	$3,388.44	$4,570.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $3,388.44 / $3,801.89	Professional		$29.51	$3,388.44	$3,801.89