Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.34 / $1,281.34 / $1,281.34	Professional		$1,281.34	$1,281.34	$1,281.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,990.08 / $2,990.08 / $2,990.08	Facility		$2,990.08	$2,990.08	$2,990.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $4,140.31	Professional		$2,326.75	$2,326.75	$4,140.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,763.92 / $3,941.28 / $3,941.28	Professional		$3,763.92	$3,941.28	$3,941.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,258.35 / $3,763.92 / $5,269.49	Professional		$2,258.35	$3,763.92	$5,269.49
United Facility/Professional Professional Modifier Low / Median / High Price $2,623.07 / $2,990.08 / $4,140.31	Professional		$2,623.07	$2,990.08	$4,140.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,031.96 / $3,135.88 / $3,582.55	Professional		$3,031.96	$3,135.88	$3,582.55