Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,818.39 / $4,818.39 / $4,818.39	Professional		$4,818.39	$4,818.39	$4,818.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,686.25 / $8,686.25 / $8,686.25	Facility		$8,686.25	$8,686.25	$8,686.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,302.44 / $8,302.44 / $12,027.60	Professional		$8,302.44	$8,302.44	$12,027.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $10,934.18 / $11,449.40 / $11,449.40	Professional		$10,934.18	$11,449.40	$11,449.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,560.51 / $10,934.18 / $15,307.85	Professional		$6,560.51	$10,934.18	$15,307.85
United Facility/Professional Professional Modifier Low / Median / High Price $7,602.69 / $8,827.68 / $12,027.60	Professional		$7,602.69	$8,827.68	$12,027.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,781.89 / $8,807.90 / $10,407.32	Professional		$4,781.89	$8,807.90	$10,407.32