Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.37 / $659.37 / $659.37	Professional		$659.37	$659.37	$659.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,569.51 / $1,569.51 / $1,569.51	Facility		$1,569.51	$1,569.51	$1,569.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $2,173.26	Professional		$1,025.33	$1,025.33	$2,173.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,975.69 / $2,068.78 / $2,068.78	Professional		$1,975.69	$2,068.78	$2,068.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.41 / $1,975.69 / $2,765.97	Professional		$1,185.41	$1,975.69	$2,765.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,078.04 / $1,569.51 / $2,173.26	Professional		$1,078.04	$1,569.51	$2,173.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,591.49 / $1,646.03 / $1,880.49	Professional		$1,591.49	$1,646.03	$1,880.49