Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.93 / $1,080.93 / $1,080.93	Professional		$1,080.93	$1,080.93	$1,080.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,552.49 / $3,552.49 / $3,552.49	Facility		$3,552.49	$3,552.49	$3,552.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.78 / $1,902.78 / $4,919.05	Professional		$1,902.78	$1,902.78	$4,919.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,471.85 / $4,682.57 / $4,682.57	Professional		$4,471.85	$4,682.57	$4,682.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,683.12 / $4,471.85 / $6,260.60	Professional		$2,683.12	$4,471.85	$6,260.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,245.58 / $3,552.49 / $4,919.05	Professional		$2,245.58	$3,552.49	$4,919.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,955.70 / $3,602.24 / $4,256.38	Professional		$1,955.70	$3,602.24	$4,256.38