Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,333.42 / $3,333.42 / $3,333.42	Facility		$3,333.42	$3,333.42	$3,333.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,333.42 / $3,333.42 / $3,333.42	Facility		$3,333.42	$3,333.42	$3,333.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,648.60 / $2,648.60 / $2,648.60	Professional		$2,648.60	$2,648.60	$2,648.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,989.51 / $2,170.37 / $2,532.10	Professional		$1,989.51	$2,170.37	$2,532.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,025.69 / $2,176.92 / $2,712.98	Professional		$2,025.69	$2,176.92	$2,712.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $861.79 / $1,769.57 / $2,282.75	Professional		$861.79	$1,769.57	$2,282.75