Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,410.20 / $1,410.20 / $1,410.20	Professional		$1,410.20	$1,410.20	$1,410.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,522.55 / $3,522.55 / $3,522.55	Facility		$3,522.55	$3,522.55	$3,522.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $4,877.57	Professional		$2,970.85	$2,970.85	$4,877.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,434.14 / $4,643.09 / $4,643.09	Professional		$4,434.14	$4,643.09	$4,643.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,660.49 / $4,434.14 / $6,207.81	Professional		$2,660.49	$4,434.14	$6,207.81
United Facility/Professional Professional Modifier Low / Median / High Price $2,827.37 / $4,389.81 / $4,877.57	Professional		$2,827.37	$4,389.81	$4,877.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,939.20 / $3,571.88 / $4,220.49	Professional		$1,939.20	$3,571.88	$4,220.49