Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.73 / $1,368.73 / $1,368.73	Professional		$1,368.73	$1,368.73	$1,368.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,106.45 / $3,106.45 / $3,106.45	Facility		$3,106.45	$3,106.45	$3,106.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $4,301.39	Professional		$2,160.07	$2,160.07	$4,301.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,910.36 / $4,094.62 / $4,094.62	Professional		$3,910.36	$4,094.62	$4,094.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,346.21 / $3,910.36 / $5,474.50	Professional		$2,346.21	$3,910.36	$5,474.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,639.12 / $3,106.45 / $4,301.39	Professional		$2,639.12	$3,106.45	$4,301.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,710.14 / $3,149.95 / $3,721.94	Professional		$1,710.14	$3,149.95	$3,721.94