Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.02 / $730.02 / $730.02	Professional		$730.02	$730.02	$730.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,987.34 / $1,987.34 / $1,987.34	Facility		$1,987.34	$1,987.34	$1,987.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $2,751.83	Professional		$1,304.10	$1,304.10	$2,751.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,501.66 / $2,619.54 / $2,619.54	Professional		$2,501.66	$2,619.54	$2,619.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,501.00 / $2,501.66 / $3,502.32	Professional		$1,501.00	$2,501.66	$3,502.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,528.47 / $1,987.34 / $2,751.83	Professional		$1,528.47	$1,987.34	$2,751.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,671.53 / $2,084.23 / $2,381.12	Professional		$1,671.53	$2,084.23	$2,381.12