Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,886.62 / $4,886.62 / $4,886.62	Facility		$4,886.62	$4,886.62	$4,886.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,725.03 / $3,705.23	Professional		$2,698.05	$2,725.03	$3,705.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,189.75	Professional		$2,698.05	$2,698.05	$3,189.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,309.37 / $3,309.37 / $3,309.37	Professional		$3,309.37	$3,309.37	$3,309.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $3,237.66 / $3,777.27	Professional		$2,698.05	$3,237.66	$3,777.27
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,850.76 / $4,047.08	Professional		$2,698.05	$2,850.76	$4,047.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,477.62 / $3,121.98 / $3,428.99	Professional		$2,477.62	$3,121.98	$3,428.99