Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.85 / $1,117.85 / $1,117.85	Professional		$1,117.85	$1,117.85	$1,117.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,647.17 / $2,647.17 / $2,647.17	Facility		$2,647.17	$2,647.17	$2,647.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,743.07 / $3,665.46 / $3,665.46	Professional		$1,743.07	$3,665.46	$3,665.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,332.24 / $3,489.26 / $3,489.26	Professional		$3,332.24	$3,489.26	$3,489.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,999.34 / $3,332.24 / $4,665.14	Professional		$1,999.34	$3,332.24	$4,665.14
United Facility/Professional Professional Modifier Low / Median / High Price $2,129.64 / $2,647.17 / $3,665.46	Professional		$2,129.64	$2,647.17	$3,665.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,457.30 / $2,684.25 / $3,171.68	Professional		$1,457.30	$2,684.25	$3,171.68