Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,414.32 / $4,414.32 / $4,414.32	Facility		$4,414.32	$4,414.32	$4,414.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,672.88	Professional		$2,429.89	$2,429.89	$2,672.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,414.32 / $4,414.32 / $4,414.32	Facility		$4,414.32	$4,414.32	$4,414.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,896.03	Professional		$2,429.89	$2,429.89	$2,896.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,523.51 / $3,523.51 / $3,523.51	Professional		$3,523.51	$3,523.51	$3,523.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,915.87 / $3,401.85	Professional		$2,429.89	$2,915.87	$3,401.85
United Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,575.67 / $3,644.84	Professional		$2,429.89	$2,575.67	$3,644.84
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,175.32 / $2,806.15 / $3,113.23	Professional		$2,175.32	$2,806.15	$3,113.23