Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.06 / $2,289.40 / $2,938.27	Facility		$2,020.06	$2,289.40	$2,938.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,081.28 / $2,081.28 / $2,081.28	Professional		$2,081.28	$2,081.28	$2,081.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,333.75 / $2,938.27 / $2,938.27	Professional		$1,333.75	$2,938.27	$2,938.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,889.30 / $3,366.78	Professional		$2,448.56	$2,889.30	$3,366.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,693.42 / $2,938.27 / $3,427.98	Professional		$2,693.42	$2,938.27	$3,427.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,938.27 / $3,672.84	Professional		$2,448.56	$2,938.27	$3,672.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,081.28 / $3,305.56 / $5,509.26	Professional		$2,081.28	$3,305.56	$5,509.26