Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.52 / $1,200.52 / $1,200.52	Professional		$1,200.52	$1,200.52	$1,200.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,898.70 / $2,898.70 / $2,898.70	Facility		$2,898.70	$2,898.70	$2,898.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.17 / $4,013.75 / $4,013.75	Professional		$1,787.17	$4,013.75	$4,013.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,648.86 / $3,820.79 / $3,820.79	Professional		$3,648.86	$3,820.79	$3,820.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,189.32 / $3,648.86 / $5,108.39	Professional		$2,189.32	$3,648.86	$5,108.39
United Facility/Professional Professional Modifier Low / Median / High Price $2,037.24 / $2,898.70 / $4,013.75	Professional		$2,037.24	$2,898.70	$4,013.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,595.76 / $2,939.30 / $3,473.04	Professional		$1,595.76	$2,939.30	$3,473.04