Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,588.16 / $8,588.16 / $8,588.16	Facility		$8,588.16	$8,588.16	$8,588.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,588.16 / $8,588.16 / $8,588.16	Facility		$8,588.16	$8,588.16	$8,588.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $5,168.22 / $5,168.22	Professional		$5,168.22	$5,168.22	$5,168.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,746.91 / $1,746.91 / $1,746.91	Professional		$1,746.91	$1,746.91	$1,746.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,685.05 / $6,201.87 / $7,235.52	Professional		$5,685.05	$6,201.87	$7,235.52
United Facility/Professional Professional Modifier Low / Median / High Price $5,168.22 / $6,083.98 / $7,752.35	Professional		$5,168.22	$6,083.98	$7,752.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $816.73 / $4,597.02 / $6,134.68	Professional		$816.73	$4,597.02	$6,134.68