Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.28 / $1,409.28 / $1,409.28	Facility		$1,409.28	$1,409.28	$1,409.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.29 / $1,409.29 / $1,409.29	Facility		$1,409.29	$1,409.29	$1,409.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $912.18	Professional		$796.09	$796.09	$912.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,109.82 / $1,109.82 / $1,109.82	Professional		$1,109.82	$1,109.82	$1,109.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $955.31 / $1,114.53	Professional		$796.09	$955.31	$1,114.53
United Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $912.18 / $1,194.14	Professional		$796.09	$912.18	$1,194.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $501.78 / $735.55 / $919.78	Professional		$501.78	$735.55	$919.78