Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,624.33 / $1,624.33 / $1,624.33	Professional		$1,624.33	$1,624.33	$1,624.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,698.15 / $3,698.15 / $3,698.15	Facility		$3,698.15	$3,698.15	$3,698.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $5,120.72	Professional		$2,637.76	$2,637.76	$5,120.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,655.20 / $4,874.55 / $4,874.55	Professional		$4,655.20	$4,874.55	$4,874.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,793.12 / $4,655.20 / $6,517.28	Professional		$2,793.12	$4,655.20	$6,517.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,415.44 / $3,698.15 / $5,120.72	Professional		$2,415.44	$3,698.15	$5,120.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,035.89 / $3,749.94 / $4,430.89	Professional		$2,035.89	$3,749.94	$4,430.89