Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.86 / $499.86 / $499.86	Professional		$499.86	$499.86	$499.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,166.46 / $1,166.46 / $1,166.46	Facility		$1,166.46	$1,166.46	$1,166.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,615.15	Professional		$1,038.85	$1,038.85	$1,615.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,468.32 / $1,537.51 / $1,537.51	Professional		$1,468.32	$1,537.51	$1,537.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $880.99 / $1,468.32 / $2,055.65	Professional		$880.99	$1,468.32	$2,055.65
United Facility/Professional Professional Modifier Low / Median / High Price $891.14 / $1,166.46 / $1,615.15	Professional		$891.14	$1,166.46	$1,615.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,182.79 / $1,223.32 / $1,397.57	Professional		$1,182.79	$1,223.32	$1,397.57