Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,195.23 / $3,621.26 / $4,647.60	Facility		$3,195.23	$3,621.26	$4,647.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,052.69 / $2,052.69 / $2,052.69	Professional		$2,052.69	$2,052.69	$2,052.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,647.60 / $4,647.60 / $4,647.60	Professional		$4,647.60	$4,647.60	$4,647.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,649.95 / $4,376.49 / $4,841.25	Professional		$3,649.95	$4,376.49	$4,841.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,260.30 / $4,647.60 / $5,422.20	Professional		$4,260.30	$4,647.60	$5,422.20
United Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $4,647.60 / $5,809.50	Professional		$3,873.00	$4,647.60	$5,809.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,292.05 / $5,228.55 / $8,714.25	Professional		$3,292.05	$5,228.55	$8,714.25