Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $3,019.95	Facility		$2,089.30	$2,511.89	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,454.71	Professional		$1,698.24	$2,187.76	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $3,890.45	Professional		$3,090.30	$3,630.78	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $3,801.89	Professional		$2,754.23	$3,019.95	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,019.95 / $3,801.89	Professional		$1,548.82	$3,019.95	$3,801.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,715.35 / $5,623.41	Professional		$2,137.96	$3,715.35	$5,623.41