Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.17 / $776.17 / $776.17	Professional		$776.17	$776.17	$776.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,237.65 / $2,237.65 / $2,237.65	Facility		$2,237.65	$2,237.65	$2,237.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $3,098.41	Professional		$1,327.28	$1,327.28	$3,098.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,816.74 / $2,949.46 / $2,949.46	Professional		$2,816.74	$2,949.46	$2,949.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,690.04 / $2,816.74 / $3,943.44	Professional		$1,690.04	$2,816.74	$3,943.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,460.47 / $2,237.65 / $3,098.41	Professional		$1,460.47	$2,237.65	$3,098.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,882.07 / $2,346.75 / $2,681.01	Professional		$1,882.07	$2,346.75	$2,681.01