Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.49 / $1,640.49 / $1,640.49	Professional		$1,640.49	$1,640.49	$1,640.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,828.15 / $3,828.15 / $3,828.15	Facility		$3,828.15	$3,828.15	$3,828.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,756.64 / $5,300.71 / $5,300.71	Professional		$2,756.64	$5,300.71	$5,300.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,818.83 / $5,045.89 / $5,045.89	Professional		$4,818.83	$5,045.89	$5,045.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,891.30 / $4,818.83 / $6,746.36	Professional		$2,891.30	$4,818.83	$6,746.36
United Facility/Professional Professional Modifier Low / Median / High Price $3,358.27 / $3,828.15 / $5,300.71	Professional		$3,358.27	$3,828.15	$5,300.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,881.76 / $4,014.79 / $4,586.64	Professional		$3,881.76	$4,014.79	$4,586.64