Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.87 / $1,728.87 / $1,728.87	Professional		$1,728.87	$1,728.87	$1,728.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,345.01 / $3,345.01 / $3,345.01	Facility		$3,345.01	$3,345.01	$3,345.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,148.57 / $3,148.57 / $4,631.72	Professional		$3,148.57	$3,148.57	$4,631.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,210.66 / $4,409.07 / $4,409.07	Professional		$4,210.66	$4,409.07	$4,409.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,526.40 / $4,210.66 / $5,894.92	Professional		$2,526.40	$4,210.66	$5,894.92
United Facility/Professional Professional Modifier Low / Median / High Price $2,611.96 / $3,936.97 / $4,631.72	Professional		$2,611.96	$3,936.97	$4,631.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,391.85 / $3,508.09 / $4,007.77	Professional		$3,391.85	$3,508.09	$4,007.77