Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.40 / $1,018.40 / $1,018.40	Professional		$1,018.40	$1,018.40	$1,018.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,201.52 / $2,201.52 / $2,201.52	Facility		$2,201.52	$2,201.52	$2,201.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $3,048.36	Professional		$1,584.92	$1,584.92	$3,048.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,771.24 / $2,901.82 / $2,901.82	Professional		$2,771.24	$2,901.82	$2,901.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,939.87 / $2,771.24 / $3,879.74	Professional		$1,939.87	$2,771.24	$3,879.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,486.20 / $2,201.52 / $3,048.36	Professional		$1,486.20	$2,201.52	$3,048.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,232.35 / $2,308.85 / $2,637.71	Professional		$2,232.35	$2,308.85	$2,637.71