Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.82 / $734.82 / $734.82	Professional		$734.82	$734.82	$734.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,733.33 / $1,733.33 / $1,733.33	Facility		$1,733.33	$1,733.33	$1,733.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $2,400.09	Professional		$1,108.41	$1,108.41	$2,400.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,181.90 / $2,284.71 / $2,284.71	Professional		$2,181.90	$2,284.71	$2,284.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,309.14 / $2,181.90 / $3,054.66	Professional		$1,309.14	$2,181.90	$3,054.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,333.74 / $1,733.33 / $2,400.09	Professional		$1,333.74	$1,733.33	$2,400.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,757.60 / $1,817.83 / $2,076.76	Professional		$1,757.60	$1,817.83	$2,076.76