Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.76 / $1,167.76 / $1,167.76	Professional		$1,167.76	$1,167.76	$1,167.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,657.06 / $3,657.06 / $3,657.06	Facility		$3,657.06	$3,657.06	$3,657.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,050.41 / $5,063.82 / $5,063.82	Professional		$2,050.41	$5,063.82	$5,063.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,603.47 / $4,820.39 / $4,820.39	Professional		$4,603.47	$4,820.39	$4,820.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,762.08 / $4,603.47 / $6,444.86	Professional		$2,762.08	$4,603.47	$6,444.86
United Facility/Professional Professional Modifier Low / Median / High Price $2,180.34 / $3,657.06 / $5,063.82	Professional		$2,180.34	$3,657.06	$5,063.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,013.26 / $3,708.28 / $4,381.66	Professional		$2,013.26	$3,708.28	$4,381.66