Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.51 / $1,408.51 / $1,408.51	Professional		$1,408.51	$1,408.51	$1,408.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,044.83 / $3,044.83 / $3,044.83	Facility		$3,044.83	$3,044.83	$3,044.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,540.30 / $2,540.30 / $4,216.08	Professional		$2,540.30	$2,540.30	$4,216.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,449.52 / $3,832.80 / $3,832.80	Professional		$3,449.52	$3,832.80	$3,832.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,299.67 / $3,832.80 / $5,365.92	Professional		$2,299.67	$3,832.80	$5,365.92
United Facility/Professional Professional Modifier Low / Median / High Price $2,326.19 / $3,044.83 / $4,216.08	Professional		$2,326.19	$3,044.83	$4,216.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,087.47 / $3,193.28 / $3,648.12	Professional		$3,087.47	$3,193.28	$3,648.12