Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.28 / $1,203.28 / $1,203.28	Professional		$1,203.28	$1,203.28	$1,203.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,864.18 / $3,864.18 / $3,864.18	Facility		$3,864.18	$3,864.18	$3,864.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,694.60 / $5,350.62 / $5,350.62	Professional		$2,694.60	$5,350.62	$5,350.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,864.20 / $5,093.39 / $5,093.39	Professional		$4,864.20	$5,093.39	$5,093.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,404.94 / $4,864.20 / $6,809.88	Professional		$3,404.94	$4,864.20	$6,809.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,990.30 / $3,864.18 / $5,350.62	Professional		$1,990.30	$3,864.18	$5,350.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,127.28 / $3,918.29 / $4,629.82	Professional		$2,127.28	$3,918.29	$4,629.82