Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $3,029.40 / $3,888.00	Facility		$2,673.00	$3,029.40	$3,888.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.60 / $1,505.60 / $1,505.60	Professional		$1,505.60	$1,505.60	$1,505.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,888.00 / $3,888.00 / $3,888.00	Professional		$3,888.00	$3,888.00	$3,888.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,053.40 / $3,661.20 / $4,050.00	Professional		$3,053.40	$3,661.20	$4,050.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,564.00 / $3,888.00 / $4,536.00	Professional		$3,564.00	$3,888.00	$4,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,840.75 / $3,888.00 / $4,860.00	Professional		$2,840.75	$3,888.00	$4,860.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,754.00 / $4,762.80 / $7,290.00	Professional		$2,754.00	$4,762.80	$7,290.00