Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.05 / $1,554.21 / $1,554.21	Professional		$1,171.05	$1,554.21	$1,554.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,685.43 / $2,189.11 / $2,189.11	Professional		$1,685.43	$2,189.11	$2,189.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,393.04 / $2,688.65 / $3,172.61	Professional		$2,393.04	$2,688.65	$3,172.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,926.42 / $2,101.55 / $2,451.81	Professional		$1,926.42	$2,101.55	$2,451.81
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 $1,786.32 / $2,189.11 / $2,760.45	Professional		$1,786.32	$2,189.11	$2,760.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $298.58 / $2,127.35 / $2,388.61	Professional		$298.58	$2,127.35	$2,388.61