Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.19 / $1,304.19 / $1,304.19	Professional		$1,304.19	$1,304.19	$1,304.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,256.76 / $3,256.76 / $3,256.76	Facility		$3,256.76	$3,256.76	$3,256.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $4,509.53	Professional		$1,784.15	$1,784.15	$4,509.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,099.57 / $4,292.74 / $4,292.74	Professional		$4,099.57	$4,292.74	$4,292.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,459.73 / $4,099.57 / $5,739.40	Professional		$2,459.73	$4,099.57	$5,739.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,374.12 / $3,256.76 / $4,509.53	Professional		$2,374.12	$3,256.76	$4,509.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,792.89 / $3,302.37 / $3,902.04	Professional		$1,792.89	$3,302.37	$3,902.04