Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,889.84 / $2,889.84 / $2,889.84	Facility		$2,889.84	$2,889.84	$2,889.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,455.68	Professional		$1,323.35	$1,323.35	$1,455.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,889.84 / $2,889.84 / $2,889.84	Facility		$2,889.84	$2,889.84	$2,889.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,869.19	Professional		$1,323.35	$1,323.35	$1,869.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,733.69 / $1,733.69 / $1,733.69	Professional		$1,733.69	$1,733.69	$1,733.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,588.01 / $1,852.68	Professional		$1,323.35	$1,588.01	$1,852.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,402.75 / $1,985.03	Professional		$1,323.35	$1,402.75	$1,985.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,189.63 / $1,650.26 / $1,846.49	Professional		$1,189.63	$1,650.26	$1,846.49