Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.72 / $1,012.72 / $1,012.72	Professional		$1,012.72	$1,012.72	$1,012.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,360.38 / $3,360.38 / $3,360.38	Facility		$3,360.38	$3,360.38	$3,360.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $4,653.00	Professional		$1,721.98	$1,721.98	$4,653.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,230.00 / $4,429.32 / $4,429.32	Professional		$4,230.00	$4,429.32	$4,429.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,538.00 / $4,230.00 / $5,922.00	Professional		$2,538.00	$4,230.00	$5,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,614.72 / $3,360.38 / $4,653.00	Professional		$1,614.72	$3,360.38	$4,653.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,795.63 / $3,524.21 / $4,026.18	Professional		$2,795.63	$3,524.21	$4,026.18