Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,586.36 / $1,586.36 / $1,586.36	Professional		$1,586.36	$1,586.36	$1,586.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,429.31 / $3,429.31 / $3,429.31	Facility		$3,429.31	$3,429.31	$3,429.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,060.59 / $4,748.46 / $4,748.46	Professional		$3,060.59	$4,748.46	$4,748.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,316.78 / $4,520.18 / $4,520.18	Professional		$4,316.78	$4,520.18	$4,520.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,021.75 / $4,316.78 / $6,043.49	Professional		$3,021.75	$4,316.78	$6,043.49
United Facility/Professional Professional Modifier Low / Median / High Price $3,008.38 / $3,429.31 / $5,384.00	Professional		$3,008.38	$3,429.31	$5,384.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,887.87 / $3,477.33 / $4,108.78	Professional		$1,887.87	$3,477.33	$4,108.78