Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,457.71 / $1,457.71 / $1,457.71	Professional		$1,457.71	$1,457.71	$1,457.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,005.27 / $4,005.27 / $4,005.27	Facility		$4,005.27	$4,005.27	$4,005.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,728.17 / $5,545.97 / $5,545.97	Professional		$2,728.17	$5,545.97	$5,545.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $5,041.79 / $5,279.36 / $5,279.36	Professional		$5,041.79	$5,279.36	$5,279.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,025.07 / $5,041.79 / $7,058.51	Professional		$3,025.07	$5,041.79	$7,058.51
United Facility/Professional Professional Modifier Low / Median / High Price $3,027.00 / $4,005.27 / $5,545.97	Professional		$3,027.00	$4,005.27	$5,545.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,204.96 / $4,061.36 / $4,798.85	Professional		$2,204.96	$4,061.36	$4,798.85