Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.63 / $1,004.63 / $1,004.63	Professional		$1,004.63	$1,004.63	$1,004.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,665.56 / $3,665.56 / $3,665.56	Facility		$3,665.56	$3,665.56	$3,665.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $5,075.60	Professional		$1,815.81	$1,815.81	$5,075.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,614.18 / $4,831.60 / $4,831.60	Professional		$4,614.18	$4,831.60	$4,831.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,768.51 / $4,614.18 / $6,459.85	Professional		$2,768.51	$4,614.18	$6,459.85
United Facility/Professional Professional Modifier Low / Median / High Price $2,416.23 / $3,215.64 / $5,075.60	Professional		$2,416.23	$3,215.64	$5,075.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,017.95 / $3,716.90 / $4,391.85	Professional		$2,017.95	$3,716.90	$4,391.85