Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.60 / $1,203.60 / $1,203.60	Professional		$1,203.60	$1,203.60	$1,203.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,515.62 / $2,515.62 / $2,515.62	Facility		$2,515.62	$2,515.62	$2,515.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,373.71 / $2,373.71 / $3,483.33	Professional		$2,373.71	$2,373.71	$3,483.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,166.66 / $3,315.87 / $3,315.87	Professional		$3,166.66	$3,315.87	$3,315.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,900.00 / $3,166.66 / $4,433.32	Professional		$1,900.00	$3,166.66	$4,433.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,573.21 / $2,515.62 / $3,483.33	Professional		$1,573.21	$2,515.62	$3,483.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,550.85 / $2,638.28 / $3,014.07	Professional		$2,550.85	$2,638.28	$3,014.07