Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.10 / $1,608.10 / $1,608.10	Professional		$1,608.10	$1,608.10	$1,608.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,754.44 / $3,754.44 / $3,754.44	Facility		$3,754.44	$3,754.44	$3,754.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,502.67 / $2,502.67 / $5,198.67	Professional		$2,502.67	$2,502.67	$5,198.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,726.06 / $4,948.75 / $4,948.75	Professional		$4,726.06	$4,948.75	$4,948.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,835.64 / $4,726.06 / $6,616.48	Professional		$2,835.64	$4,726.06	$6,616.48
United Facility/Professional Professional Modifier Low / Median / High Price $2,655.86 / $3,754.44 / $5,198.67	Professional		$2,655.86	$3,754.44	$5,198.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,066.86 / $3,807.02 / $4,498.33	Professional		$2,066.86	$3,807.02	$4,498.33