Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.36 / $179.36 / $179.36	Facility		$179.36	$179.36	$179.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,540.82	Professional		$4,128.02	$4,128.02	$4,540.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.36 / $179.36 / $179.36	Facility		$179.36	$179.36	$179.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,338.14 / $4,128.02 / $4,787.57	Professional		$3,338.14	$4,128.02	$4,787.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,967.10 / $4,967.10 / $4,967.10	Professional		$4,967.10	$4,967.10	$4,967.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,953.62 / $5,779.23	Professional		$4,128.02	$4,953.62	$5,779.23
United Facility/Professional Professional Modifier Low / Median / High Price $4,069.43 / $4,128.02 / $6,192.03	Professional		$4,069.43	$4,128.02	$6,192.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $136.38 / $4,827.46	Professional		$47.30	$136.38	$4,827.46