Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,412.88 / $4,412.88 / $4,412.88	Facility		$4,412.88	$4,412.88	$4,412.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,868.97	Professional		$2,608.16	$2,608.16	$2,868.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,412.88 / $4,412.88 / $4,412.88	Facility		$4,412.88	$4,412.88	$4,412.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,279.04	Professional		$2,608.16	$2,608.16	$3,279.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,402.00 / $3,402.00 / $3,402.00	Professional		$3,402.00	$3,402.00	$3,402.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $3,129.79 / $3,651.42	Professional		$2,608.16	$3,129.79	$3,651.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,764.65 / $3,912.24	Professional		$2,608.16	$2,764.65	$3,912.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,260.78 / $2,531.21 / $3,306.36	Professional		$1,260.78	$2,531.21	$3,306.36