Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,710.54 / $2,710.54 / $2,710.54	Professional		$2,710.54	$2,710.54	$2,710.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,023.75 / $6,023.75 / $6,023.75	Facility		$6,023.75	$6,023.75	$6,023.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $8,340.94	Professional		$4,423.18	$4,423.18	$8,340.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $7,582.67 / $7,939.97 / $7,939.97	Professional		$7,582.67	$7,939.97	$7,939.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,549.60 / $7,582.67 / $10,615.74	Professional		$4,549.60	$7,582.67	$10,615.74
United Facility/Professional Professional Modifier Low / Median / High Price $3,808.81 / $6,023.75 / $8,340.94	Professional		$3,808.81	$6,023.75	$8,340.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $6,108.12 / $6,317.46 / $7,217.30	Professional		$6,108.12	$6,317.46	$7,217.30