Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.58 / $1,270.58 / $1,270.58	Professional		$1,270.58	$1,270.58	$1,270.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,659.82 / $2,659.82 / $2,659.82	Facility		$2,659.82	$2,659.82	$2,659.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $3,682.95	Professional		$2,253.75	$2,253.75	$3,682.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,348.14 / $3,348.14 / $3,505.90	Professional		$3,348.14	$3,348.14	$3,505.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,237.14 / $3,348.14 / $4,687.39	Professional		$2,237.14	$3,348.14	$4,687.39
United Facility/Professional Professional Modifier Low / Median / High Price $2,331.17 / $2,659.82 / $3,682.95	Professional		$2,331.17	$2,659.82	$3,682.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,697.06 / $2,789.49 / $3,186.81	Professional		$2,697.06	$2,789.49	$3,186.81