Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,273.83 / $1,273.83 / $1,273.83	Professional		$1,273.83	$1,273.83	$1,273.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,403.69 / $3,403.69 / $3,403.69	Facility		$3,403.69	$3,403.69	$3,403.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $4,713.01	Professional		$2,476.09	$2,476.09	$4,713.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,284.55 / $4,486.43 / $4,486.43	Professional		$4,284.55	$4,486.43	$4,486.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,999.19 / $4,284.55 / $5,998.37	Professional		$2,999.19	$4,284.55	$5,998.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,426.00 / $3,403.69 / $4,713.01	Professional		$2,426.00	$3,403.69	$4,713.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,873.77 / $3,451.36 / $4,078.10	Professional		$1,873.77	$3,451.36	$4,078.10