Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,564.30 / $1,564.30 / $1,564.30	Professional		$1,564.30	$1,564.30	$1,564.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,748.53 / $3,748.53 / $3,748.53	Facility		$3,748.53	$3,748.53	$3,748.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $5,190.49	Professional		$3,364.97	$3,364.97	$5,190.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,718.63 / $4,940.97 / $4,940.97	Professional		$4,718.63	$4,940.97	$4,940.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,831.18 / $4,718.63 / $6,606.08	Professional		$2,831.18	$4,718.63	$6,606.08
United Facility/Professional Professional Modifier Low / Median / High Price $3,105.73 / $3,748.53 / $5,190.49	Professional		$3,105.73	$3,748.53	$5,190.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,063.61 / $3,801.03 / $4,491.27	Professional		$2,063.61	$3,801.03	$4,491.27