Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,586.23 / $2,586.23 / $2,586.23	Professional		$2,586.23	$2,586.23	$2,586.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,884.39 / $5,884.39 / $5,884.39	Facility		$5,884.39	$5,884.39	$5,884.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,697.47 / $8,147.98 / $8,147.98	Professional		$4,697.47	$8,147.98	$8,147.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $7,407.25 / $7,756.28 / $7,756.28	Professional		$7,407.25	$7,756.28	$7,756.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,444.35 / $7,407.25 / $10,370.15	Professional		$4,444.35	$7,407.25	$10,370.15
United Facility/Professional Professional Modifier Low / Median / High Price $5,162.12 / $5,884.39 / $8,147.98	Professional		$5,162.12	$5,884.39	$8,147.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,239.43 / $5,966.80 / $7,050.33	Professional		$3,239.43	$5,966.80	$7,050.33